Medicaid Eligibility Navigator – Onsite, Impactful Role

HCA Healthcare, Inc.; Largo (FL); On-site; USD 42,000 - 66,000; Full time

Benefits offered by this job

Medical benefits

Dental & Vision

401(k) match

Tuition assistance

Job summary

HCA Florida Largo Hospital is seeking a Medicaid Eligibility Advocate to join our team onsite. You will screen patients for insurance coverage, assess financial needs, and counsel on benefits and co-payments.

This role serves as a liaison among patients, the hospital, and government agencies to support case management. Responsibilities include verifying benefits, obtaining necessary documentation, preparing applications, and ensuring accurate data entry in the system.

Qualifications

• Associate degree preferred.
• Minimum of one-year related experience with Medicaid or Disability claims 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-verifies benefits and obtains authorization and/or referral after treatment plan has been discussed, prior to initiation of treatment. Ensures appropriate signatures are obtained on all necessary forms.
• 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 degree preferred

Job description

HCA Florida Largo Hospital is seeking a Medicaid Eligibility Advocate to join our team onsite. You will screen patients for insurance coverage, assess financial needs, and counsel on benefits and co-payments.

This role serves as a liaison among patients, the hospital, and government agencies to support case management. Responsibilities include verifying benefits, obtaining necessary documentation, preparing applications, and ensuring accurate data entry in the system.