Medicaid Eligibility Navigator

HCA Healthcare, Inc.; San Antonio (TX); Sur place; USD 42 000 - 62 000; Plein temps

Avantages offerts par ce poste

Comprehensive benefits

Wellbeing support

Time away from work

401(k) plan with match

Education support

Additional benefits

Résumé du poste

HCA Healthcare, Inc. is seeking a Medicaid Eligibility Advocate at Methodist Hospital Metropolitan to screen patients for insurance coverage and government programs, assess financial needs, and counsel on benefits and co-pays.

You will coordinate with patients, hospital staff, and agencies to determine eligibility and ensure timely applications. The role requires strong organizational skills, the ability to verify benefits, and follow-up with caseworkers.

Qualifications

• Associate degree preferred
• Minimum of one-year related experience preferred, preferably in healthcare.
• Relevant education may substitute experience requirements.
• Bilingual skills are preferred

Responsabilités

• 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.

Connaissances

Bilingual skills

Formation

Associate degree

Description du poste

HCA Healthcare, Inc. is seeking a Medicaid Eligibility Advocate at Methodist Hospital Metropolitan to screen patients for insurance coverage and government programs, assess financial needs, and counsel on benefits and co-pays.

You will coordinate with patients, hospital staff, and agencies to determine eligibility and ensure timely applications. The role requires strong organizational skills, the ability to verify benefits, and follow-up with caseworkers.