Medicaid Eligibility Specialist

HCA Healthcare; Dallas (TX); On-site; USD 45,000 - 60,000; Full time

Benefits offered by this job

Healthcare benefits

Paid time off

Job summary

Medical City Dallas, part of HCA Healthcare, seeks a Medicaid Eligibility Advocate to screen and verify insurance coverage and assist with government programs. The role involves obtaining authorizations, gathering documentation, and maintaining accurate patient records.

Schedule Monday to Friday 8:00 AM to 5:00 PM, with field visits as needed and participation in ongoing training programs. HCA offers comprehensive benefits and a commitment to patient access.

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. 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's degree preferred

Relevant education may substitute experience requirement

Job description

Medical City Dallas, part of HCA Healthcare, seeks a Medicaid Eligibility Advocate to screen and verify insurance coverage and assist with government programs. The role involves obtaining authorizations, gathering documentation, and maintaining accurate patient records.

Schedule Monday to Friday 8:00 AM to 5:00 PM, with field visits as needed and participation in ongoing training programs. HCA offers comprehensive benefits and a commitment to patient access.