Medicaid Eligibility Specialist: Empower Patients

HCA Healthcare, Inc.; Nashville (TN); Remote; USD 42,000 - 56,000; Full time

Benefits offered by this job

Medical benefits

Telemedicine

401(k) with match

Job summary

HCA Healthcare, Inc. is seeking a Medicaid Eligibility Advocate to screen and determine eligibility for patients for insurance coverage and government programs. The role involves verifying benefits, collecting required documentation, and managing applications with timely follow-up.

This position supports the organization’s revenue cycle and patient access efforts, with training provided and potential field visits as needed. A strong focus on accuracy and compliance is essential.

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 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

Job description

HCA Healthcare, Inc. is seeking a Medicaid Eligibility Advocate to screen and determine eligibility for patients for insurance coverage and government programs. The role involves verifying benefits, collecting required documentation, and managing applications with timely follow-up.

This position supports the organization’s revenue cycle and patient access efforts, with training provided and potential field visits as needed. A strong focus on accuracy and compliance is essential.