Medicaid Eligibility Navigator

HCA Healthcare; Conroe (TX); On-site; USD 38,000 - 52,000; Full time

Benefits offered by this job

401(k) match

Tuition assistance

Paid time off

Job summary

HCA Healthcare’s Parallon is seeking a Medicaid Eligibility Advocate to conduct eligibility screenings, assess patient financial requirements and counsel on insurance benefits and co-payments. You will liaise between patients, the hospital and government agencies, supporting case management and ensuring timely applications.

You will verify coverage, obtain necessary documentation, file applications, and follow up with agencies to complete the process.

Qualifications

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

Responsibilities

• Screen and evaluate patients for existing insurance coverage, federal and state assistance programs, or hospital charity applications.
• Re-verifies benefits and obtains authorization/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 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.

Skills

Healthcare experience

Education

Associate’s degree preferred

Job description

HCA Healthcare’s Parallon is seeking a Medicaid Eligibility Advocate to conduct eligibility screenings, assess patient financial requirements and counsel on insurance benefits and co-payments. You will liaise between patients, the hospital and government agencies, supporting case management and ensuring timely applications.

You will verify coverage, obtain necessary documentation, file applications, and follow up with agencies to complete the process.