Medicaid Eligibility Navigator — Access & Impact

HCA Healthcare; South Carolina; On-site; USD 42,000 - 54,000; Full time

Benefits offered by this job

Medical, prescription, dental, vision

Wellbeing support and counseling

Paid time off and disability coverage

Retirement and stock purchase plans

Education and certification support

Fertility and family benefits

Job summary

HCA Healthcare Trident Hospital is seeking a Medicaid Eligibility Advocate to screen patients for insurance coverage and government program assistance. You will re-verify benefits, obtain necessary authorizations, and collect required documentation to determine eligibility.

Responsibilities include filing applications and following up with agencies to ensure timely processing. Role requires handling patient records, maintaining accurate data in hospital systems, and participating in ongoing

Qualifications

• Associate’s degree preferred; related healthcare experience may substitute.
• Minimum one-year related experience preferred, preferably in healthcare.

Responsibilities

• 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.

Education

Associate’s degree preferred

Job description

HCA Healthcare Trident Hospital is seeking a Medicaid Eligibility Advocate to screen patients for insurance coverage and government program assistance. You will re-verify benefits, obtain necessary authorizations, and collect required documentation to determine eligibility.

Responsibilities include filing applications and following up with agencies to ensure timely processing. Role requires handling patient records, maintaining accurate data in hospital systems, and participating in ongoing