Medicaid Eligibility Navigator

Duke University Health System; Mooresville (NC); On-site; USD 42,000 - 66,000; Full time

Job summary

Duke Health Lake Norman Hospital in Mooresville, NC is seeking a Medicaid Eligibility Analyst to coordinate the Medicaid application process across multidisciplinary teams to obtain patient eligibility and ensure reimbursement for services.

The role requires evaluating assets, income, clinical history, and residency, explaining options to patients, and coordinating verifications and hearings when needed, with responsibilities including data entry and follow-up with social services.

Qualifications

• Bachelor's degree in business, healthcare administration, accounting, finance or a related field is required.
• Four years of related experience is required.

Responsibilities

• Coordinate Medicaid application process to determine eligibility for reimbursement.
• Interview patients and review assets, income, and history to support eligibility.
• Advise patients on Medicaid options and assist with hearings when needed.
• Maintain accurate data in the hospital system and monitor authorization dates.
• Travel to county offices for follow-up and verifications when required.

Education

Bachelor's degree in business, healthcare administration, accounting, finance or a related field

Job description

Duke Health Lake Norman Hospital in Mooresville, NC is seeking a Medicaid Eligibility Analyst to coordinate the Medicaid application process across multidisciplinary teams to obtain patient eligibility and ensure reimbursement for services.

The role requires evaluating assets, income, clinical history, and residency, explaining options to patients, and coordinating verifications and hearings when needed, with responsibilities including data entry and follow-up with social services.