Medicaid Eligibility Specialist - Hybrid Role

HCA Healthcare; Miami (FL); Hybrid; USD 45,000 - 65,000; Full time

Benefits offered by this job

Comprehensive benefits

Wellbeing support

Paid time off & disability coverage

401(k) match

Education support

Career development

Job summary

HCA Florida Kendall Hospital is seeking a Medicaid Eligibility Advisor to screen and evaluate patients for insurance coverage and government assistance programs. The role supports eligibility determinations, re-verifications, and required documentation, with a hybrid schedule Monday through Friday 8:00 am to 4:30 pm.

The incumbent will perform field visits as needed, enter data into the hospital system, and participate in ongoing training.

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. 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

Job description

HCA Florida Kendall Hospital is seeking a Medicaid Eligibility Advisor to screen and evaluate patients for insurance coverage and government assistance programs. The role supports eligibility determinations, re-verifications, and required documentation, with a hybrid schedule Monday through Friday 8:00 am to 4:30 pm.

The incumbent will perform field visits as needed, enter data into the hospital system, and participate in ongoing training.