Medicaid Eligibility Specialist — Patient Access Advocate

HCA Healthcare; Salem (VA); On-site; USD 21,000 - 31,000; Full time

Benefits offered by this job

Comprehensive benefits

Wellbeing support

Time away from work

401(k) match

Education support

Job summary

The Medicaid Eligibility Advocate role at LewisGale Medical Center within HCA Healthcare focuses on screening patients for insurance coverage and government assistance, counseling on benefits and co-pays, and coordinating between patients, hospital, and agencies.

You will handle enrollment, follow-up, and documentation to ensure timely applications and compliance, with field visits and standard office duties as needed.

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.

Skills

One year related experience preferred

Education

Associate’s degree preferred

Job description

The Medicaid Eligibility Advocate role at LewisGale Medical Center within HCA Healthcare focuses on screening patients for insurance coverage and government assistance, counseling on benefits and co-pays, and coordinating between patients, hospital, and agencies.

You will handle enrollment, follow-up, and documentation to ensure timely applications and compliance, with field visits and standard office duties as needed.