Medicaid Eligibility & Benefits Specialist

HCA Healthcare, Inc.; Florida; Presencial; USD 42 000 - 66 000; Tempo integral

Vantagens oferecidas por esta oferta de emprego

Comprehensive benefits

Wellbeing support

Paid time off

Education support

Retirement plan

Employee discounts

Resumo da oferta

HCA Florida Twin Cities Hospital is seeking a Medicaid Eligibility Advocate to conduct eligibility screenings and advise patients on insurance benefits and co-payments. You will liaise with hospital staff and government agencies and participate in case management activities.

The role requires gathering documentation, verifying benefits, and filing applications while maintaining accurate records. Some field visits and transportation are required as part of duties.

Qualificações

• High School Diploma or GED or related experience in lieu.
• 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.
• 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 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.

Conhecimentos

Eligibility screening

Patient counseling

Liaison with agencies

Documentation

Formação académica

High School Diploma or GED

Associate's degree preferred

Descrição da oferta de emprego

HCA Florida Twin Cities Hospital is seeking a Medicaid Eligibility Advocate to conduct eligibility screenings and advise patients on insurance benefits and co-payments. You will liaise with hospital staff and government agencies and participate in case management activities.

The role requires gathering documentation, verifying benefits, and filing applications while maintaining accurate records. Some field visits and transportation are required as part of duties.