Medicaid Eligibility Navigator

HCA Healthcare, Inc.; Hudson (FL); On-site; USD 42,000 - 56,000; Full time

Benefits offered by this job

Medical benefits

Dental & vision

401(k) retirement plan

Tuition assistance

Job summary

HCA Florida Bayonet Point Hospital in Florida is seeking a Medicaid Eligibility Advocate to screen patients for insurance coverage and government programs, assess financial requirements, and counsel patients on benefits and co-pays. The role acts as a liaison between patients, the hospital, and government agencies and participates in case management activities.

Responsibilities include obtaining approvals, documenting information, following up with agencies, and ensuring accurate data entry

Qualifications

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

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.
• 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

Eligibility screening

Education

Associate’s degree

Job description

HCA Florida Bayonet Point Hospital in Florida is seeking a Medicaid Eligibility Advocate to screen patients for insurance coverage and government programs, assess financial requirements, and counsel patients on benefits and co-pays. The role acts as a liaison between patients, the hospital, and government agencies and participates in case management activities.

Responsibilities include obtaining approvals, documenting information, following up with agencies, and ensuring accurate data entry