Medicaid Eligibility Specialist – Patient Access

HCA Healthcare, Inc.; Hudson (FL); On-site; USD 42,000 - 63,000; Full time

Benefits offered by this job

Comprehensive benefits

Time away from work

Education support

Retirement resources

Job summary

HCA Florida Bayonet Point Hospital is seeking a Medicaid Eligibility Advocate to assess patient financial needs, screen for insurance coverage, and counsel patients on benefits and co-pays. This role acts as a liaison among patients, the hospital, and governmental agencies, supporting case management across programs.

The position involves verifying benefits, obtaining required documentation, and ensuring timely completion of applications.

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.
• 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 Florida Bayonet Point Hospital is seeking a Medicaid Eligibility Advocate to assess patient financial needs, screen for insurance coverage, and counsel patients on benefits and co-pays. This role acts as a liaison among patients, the hospital, and governmental agencies, supporting case management across programs.

The position involves verifying benefits, obtaining required documentation, and ensuring timely completion of applications.