Medicaid Eligibility Specialist: Healthcare Access Champion

HCA Healthcare, Inc.; Gainesville (FL); Vor Ort; USD 40.000 - 65.000; Vollzeit

Zusammenfassung

HCA Florida North Florida Hospital is seeking a patient financial advocate to screen patients for insurance coverage and government programs, and to manage hospital charity applications. You will verify benefits, obtain authorizations, collect medical documentation, and file applications to ensure timely processing.

Responsibilities include documenting in the patient file, following up with caseworkers, and maintaining workflow efficiency.

Qualifikationen

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

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.
• 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

Jobbeschreibung

HCA Florida North Florida Hospital is seeking a patient financial advocate to screen patients for insurance coverage and government programs, and to manage hospital charity applications. You will verify benefits, obtain authorizations, collect medical documentation, and file applications to ensure timely processing.

Responsibilities include documenting in the patient file, following up with caseworkers, and maintaining workflow efficiency.