Medicaid Eligibility Specialist | Help Patients Access Care

HCA Healthcare, Inc.; Gainesville (FL); On-site; USD 42,000 - 54,000; Full time

Benefits offered by this job

Medical, prescription, dental, vision

Wellbeing support

Paid time off and family leave

401(k) with 100% match on 3–9% of pay

Tuition and certification support

Employee discounts

Job summary

HCA Healthcare, Inc. in Gainesville, FL is seeking a Medicaid Eligibility Advocate to assess patients for insurance coverage, government assistance programs, and hospital charity options.

The role includes re-verifying benefits and coordinating required authorizations before treatment. Responsibilities cover collecting medical evidence, filing applications, and guiding patients through required documentation while maintaining accurate records.

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

Minimum one-year related experience preferred

Relevant education may substitute experience

Job description

HCA Healthcare, Inc. in Gainesville, FL is seeking a Medicaid Eligibility Advocate to assess patients for insurance coverage, government assistance programs, and hospital charity options.

The role includes re-verifying benefits and coordinating required authorizations before treatment. Responsibilities cover collecting medical evidence, filing applications, and guiding patients through required documentation while maintaining accurate records.