Medicaid Eligibility Specialist: Empower Patients

HCA Healthcare, Inc.; Marion (NC); Vor Ort; USD 42.000 - 62.000; Vollzeit

Benefits dieser Stelle

Comprehensive benefits

Time away from work

401(k) Plan with company match

Education assistance

Zusammenfassung

Mission Hospital, part of HCA Healthcare, seeks a Medicaid Eligibility Advocate to screen patients for insurance coverage, assess financial requirements, and counsel on benefits. The role acts as a liaison between patient, hospital, and agencies; and participates in all areas of case management.

You will verify benefits, file applications, and ensure timely processing. Field visits and reliable transportation are required; healthcare experience is preferred.

Qualifikationen

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

Aufgaben

• 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.

Ausbildung

Associate’s degree preferred

Relevant education may substitute experience

Jobbeschreibung

Mission Hospital, part of HCA Healthcare, seeks a Medicaid Eligibility Advocate to screen patients for insurance coverage, assess financial requirements, and counsel on benefits. The role acts as a liaison between patient, hospital, and agencies; and participates in all areas of case management.

You will verify benefits, file applications, and ensure timely processing. Field visits and reliable transportation are required; healthcare experience is preferred.