Medicaid Eligibility Navigator

HCA Healthcare; Houston (TX); On-site; USD 42,000 - 62,000; Full time

Benefits offered by this job

Comprehensive benefits

Wellbeing support

Paid time off

401(k) match

Education support

Life insurance

Job summary

HCA Houston Healthcare Kingwood is seeking a Medicaid eligibility advisor to screen and determine eligibility for insurance coverage and government programs. You will obtain needed documentation, verify benefits, and handle follow-ups with patients and agency caseworkers.

The role requires servicing applications, maintaining accurate records, and participating in ongoing training, with field visits as needed and reliable transportation.

Qualifications

• Minimum one-year related experience preferred, preferably in healthcare.
• Relevant education may substitute experience requirement.
• HCA Houston Healthcare Kingwood offers a total rewards package that supports the health, life, career and retirement of our colleagues.

Responsibilities

• 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.

Skills

Healthcare experience

Job description

HCA Houston Healthcare Kingwood is seeking a Medicaid eligibility advisor to screen and determine eligibility for insurance coverage and government programs. You will obtain needed documentation, verify benefits, and handle follow-ups with patients and agency caseworkers.

The role requires servicing applications, maintaining accurate records, and participating in ongoing training, with field visits as needed and reliable transportation.