Medicaid Eligibility Navigator — Field & Office

HCA Healthcare, Inc.; Wichita (KS); On-site; USD 42,000 - 56,000; Full time

Benefits offered by this job

Medical benefits

Dental & vision

Paid time off

401(k) plan

Job summary

HCA Healthcare seeks a Medicaid Eligibility Advocate in Wichita, KS to conduct eligibility screenings, assess financial requirements, and counsel patients on insurance benefits. Acts as a liaison between patient, hospital, and government agencies, supporting case management. Mon-Fri, 8:00 am–4:30 pm schedule.

The role involves screening for coverage, re-verifying benefits, obtaining documentation, filing applications, and maintaining accurate patient records. Some field travel may be required.

Qualifications

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

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.

Skills

Communication skills

Care coordination

Patient counseling

Education

Associate degree preferred

Relevant education may substitute experience

Job description

HCA Healthcare seeks a Medicaid Eligibility Advocate in Wichita, KS to conduct eligibility screenings, assess financial requirements, and counsel patients on insurance benefits. Acts as a liaison between patient, hospital, and government agencies, supporting case management. Mon-Fri, 8:00 am–4:30 pm schedule.

The role involves screening for coverage, re-verifying benefits, obtaining documentation, filing applications, and maintaining accurate patient records. Some field travel may be required.