Medicaid Eligibility Navigator

HCA Healthcare; West Palm Beach (FL); On-site; USD 42,000 - 54,000; Full time

Job summary

HCA Florida JFK North Hospital is seeking a Medicaid Eligibility Advocate to assess patient financial requirements and counsel on insurance benefits and co-payments. This role acts as a liaison among patients, the hospital, and government agencies, supporting case management across processes.

The position involves screening for eligible programs, validating benefits, collecting required documentation, and maintaining accurate patient records. Field visits may be required with reliable transport.

Qualifications

• Associate degree preferred
• Minimum of one-year related experience 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-verify benefits and obtain 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.

Job description

HCA Florida JFK North Hospital is seeking a Medicaid Eligibility Advocate to assess patient financial requirements and counsel on insurance benefits and co-payments. This role acts as a liaison among patients, the hospital, and government agencies, supporting case management across processes.

The position involves screening for eligible programs, validating benefits, collecting required documentation, and maintaining accurate patient records. Field visits may be required with reliable transport.