Medicaid Eligibility Navigator

Duke Careers; Mooresville (NC); On-site; USD 52,000 - 72,000; Full time

Job summary

Duke Health Lake Norman Hospital in Mooresville, NC, seeks a Medicaid Eligibility Analyst to coordinate the Medicaid application process and determine patient eligibility for services. The role requires interpreting federal regulations, collecting verifications, and communicating complex financial concepts to patients while ensuring accurate documentation and reimbursement for the health system.

Hours are Monday–Friday, with occasional weekends as needed, and travel to county offices may be

Qualifications

• Bachelor's degree in business, healthcare administration, accounting, finance or related field is required.
• Four years of related experience is required.
• Knowledge of Medicaid and federal regulations is preferred.

Responsibilities

• Coordinate Medicaid application across entities to obtain eligibility.
• Explain complex financial concepts to patients and assist with applications.
• Gather verifications to establish eligibility and coordinate any necessary hearings.
• Monitor application status and ensure accurate patient account documentation.

Skills

Interviewing patients

Verbal communication

Financial counseling

Education

Bachelor's degree in business

Healthcare administration

Job description

Duke Health Lake Norman Hospital in Mooresville, NC, seeks a Medicaid Eligibility Analyst to coordinate the Medicaid application process and determine patient eligibility for services. The role requires interpreting federal regulations, collecting verifications, and communicating complex financial concepts to patients while ensuring accurate documentation and reimbursement for the health system.

Hours are Monday–Friday, with occasional weekends as needed, and travel to county offices may be