Medicaid Eligibility Navigator

HCA Healthcare; McAllen (TX); On-site; USD 38,000 - 58,000; Full time

Benefits offered by this job

Comprehensive health benefits

401(k) with match

Education and tuition assistance

Paid time off and disability coverage

Job summary

HCA Healthcare is seeking an Medicaid Eligibility Advocate in Texas to assess patient financial needs, screen for insurance coverage, and counsel patients on benefits and copays. The role functions as a liaison among patients, the hospital, and government agencies, contributing to all areas of case management.

Responsibilities include verifying benefits, collecting documentation, and filing eligibility applications while maintaining accurate records and complying with policies.

Qualifications

• Counsel patients on insurance benefits and co-payments.
• Screen and verify patient eligibility for federal/state programs.
• Document progress notes and enter data into the hospital system.

Responsibilities

• Screen and evaluate patients for insurance coverage or charity programs.
• Re-verify benefits and obtain necessary signatures and referrals.
• Obtain medical evidence and documentation for eligibility decisions.
• File applications and coordinate follow-up with agencies for timely processing.
• Enter demographic and eligibility data accurately in the system; maintain patient files.
• Participate in ongoing training and support office operations.

Skills

Counseling patients

Verbal communication

Education

Associate’s degree preferred

Relevant education may substitute experience

Job description

HCA Healthcare is seeking an Medicaid Eligibility Advocate in Texas to assess patient financial needs, screen for insurance coverage, and counsel patients on benefits and copays. The role functions as a liaison among patients, the hospital, and government agencies, contributing to all areas of case management.

Responsibilities include verifying benefits, collecting documentation, and filing eligibility applications while maintaining accurate records and complying with policies.