Medicaid Eligibility & Benefits Advocate

HCA Healthcare; Wichita (KS); Presencial; USD 42 000 - 54 000; Tempo integral

Resumo da oferta

Wesley Medical Center in Wichita, KS seeks a Medicaid Eligibility Advocate to assess patient financial needs, verify insurance coverage, and counsel on benefits and co-pays. You will liaise between patients, the hospital, and government agencies to support case management.

Responsibilities include screening for coverage, obtaining authorizations, collecting documentation, filing applications, and maintaining accurate records. Some field visits may be required with reliable transportation.

Qualificações

• Associate's degree preferred.
• Minimum one-year related experience preferred, preferably in healthcare.
• Relevant education may substitute experience requirement.

Responsabilidades

• Screen and evaluate patients for existing insurance coverage, federal and state assistance programs, or hospital charity applications.
• Re-verifies benefits and obtains authorization and/or referral after treatment plan has been discussed, prior to initiation of treatment. Ensures appropriate signatures are obtained on all necessary forms.
• Obtain legally relevant medical evidence, physician statements and all other documentation required for eligibility determination.
• Complete and file applications. Initiate and maintain proper follow-up with the patient and government agency caseworkers to ensure timely processing and completion of all mandated applications and accompanying documentation.
• Ensure all insurance, demographic and eligibility information is obtained and entered into the system accurately. Document progress notes to the patient’s file and the hospital computer system.
• Participates in ongoing, comprehensive training programs as required.
• Follows policies and procedures to contribute to the efficiency of the office. Covers and assists with other office functions as requested.
• Will be required to make field visits as necessary and will need reliable personal transportation readily available.

Formação académica

Associate's degree preferred

Descrição da oferta de emprego

Wesley Medical Center in Wichita, KS seeks a Medicaid Eligibility Advocate to assess patient financial needs, verify insurance coverage, and counsel on benefits and co-pays. You will liaise between patients, the hospital, and government agencies to support case management.

Responsibilities include screening for coverage, obtaining authorizations, collecting documentation, filing applications, and maintaining accurate records. Some field visits may be required with reliable transportation.