Medicaid Eligibility Navigator

HCA Healthcare; Idaho Falls (ID); On-site; USD 22,041 - 33,062; Full time

Benefits offered by this job

Medical, prescription, dental, vision

401(k) plan with match

Tuition assistance

Life insurance

Flexible spending accounts

Job summary

Eastern Idaho Regional Medical Center, part of HCA Healthcare, is seeking a Medicaid Eligibility Advocate to screen for insurance coverage, assess financial needs, and counsel patients on benefits and co-pays. The role acts as a liaison between patients, the hospital, and government agencies to support timely access to care.

You will complete applications, verify benefits, obtain documents, and follow up with agencies. Field visits may be required, with reliable transportation.

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

Communication skills

Customer service

Education

Associate’s degree preferred

Minimum one-year related experience preferred

Job description

Eastern Idaho Regional Medical Center, part of HCA Healthcare, is seeking a Medicaid Eligibility Advocate to screen for insurance coverage, assess financial needs, and counsel patients on benefits and co-pays. The role acts as a liaison between patients, the hospital, and government agencies to support timely access to care.

You will complete applications, verify benefits, obtain documents, and follow up with agencies. Field visits may be required, with reliable transportation.