Medicaid Eligibility Navigator

HCA Healthcare; Lehigh Acres (FL); On-site; USD 42,000 - 60,000; Full time

Benefits offered by this job

Health benefits

Wellbeing support

Paid time off

401(k) match

Tuition assistance

Student loan assistance

Certification support

Dependent scholarships

Job summary

HCA Healthcare is seeking a Medicaid Eligibility Advocate to join our team. This role assesses patient financial needs, screens eligibility for government programs, and counsels patients on insurance benefits and co-payments.

You will liaise between patients, hospital staff and agencies to support accurate and timely applications. The ideal candidate has an associate degree (or equivalent) and at least one year of related Medicaid or disability claims experience.

Qualifications

• Associate degree preferred.
• Minimum of one-year related experience with Medicaid or Disability claims preferred, preferably in healthcare.
• Relevant education may substitute experience requirements.

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

Counseling patients

Insurance verification

Education

Associate degree

Job description

HCA Healthcare is seeking a Medicaid Eligibility Advocate to join our team. This role assesses patient financial needs, screens eligibility for government programs, and counsels patients on insurance benefits and co-payments.

You will liaise between patients, hospital staff and agencies to support accurate and timely applications. The ideal candidate has an associate degree (or equivalent) and at least one year of related Medicaid or disability claims experience.