Medicaid Eligibility Specialist — Help Patients Access Care

HCA Healthcare; Englewood (CO); On-site; USD 26,000 - 39,000; Full time

Benefits offered by this job

Medical, prescription drug, dental, &/

Vision & behavioral health services

Telemedicine options

Paid time off and family leave

401(k) with employer match

Employee Stock Purchase Plan

Tuition assistance & certification

Dependent scholarships & nursing/educ.

Job summary

HCA HealthONE Swedish in Colorado is seeking an Insurance Benefits Coordinator to screen patients for coverage, re-verify benefits, obtain authorizations, and assist with eligibility determinations before treatment.

The role involves completing applications, coordinating with government agencies, maintaining accurate patient records in the hospital system, and supporting other office functions. Field visits may be required, and reliable transportation is expected.

Qualifications

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

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.
• 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

Job description

HCA HealthONE Swedish in Colorado is seeking an Insurance Benefits Coordinator to screen patients for coverage, re-verify benefits, obtain authorizations, and assist with eligibility determinations before treatment.

The role involves completing applications, coordinating with government agencies, maintaining accurate patient records in the hospital system, and supporting other office functions. Field visits may be required, and reliable transportation is expected.