Medicaid Eligibility Navigator for Patient Access

HCA Healthcare; Orange Park (FL); On-site; USD 42,000 - 62,000; Full time

Benefits offered by this job

Medical benefits

Retirement plan with 401(k) match

Tuition assistance

Job summary

HCA Florida Orange Park Hospital is seeking a Medicaid Eligibility Advocate to screen patients for insurance coverage, assess financial requirements, and counsel on benefits and co-pays. The role serves as liaison among patients, hospital, and government agencies and participates in case management activities.

In this position you will verify benefits, obtain authorizations, collect documentation, and complete applications.

Qualifications

• Associate 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

Healthcare experience

Education

Associate’s degree preferred

Job description

HCA Florida Orange Park Hospital is seeking a Medicaid Eligibility Advocate to screen patients for insurance coverage, assess financial requirements, and counsel on benefits and co-pays. The role serves as liaison among patients, hospital, and government agencies and participates in case management activities.

In this position you will verify benefits, obtain authorizations, collect documentation, and complete applications.