Remote Medicaid Eligibility Advocate

HCA Healthcare, Inc.; Nashville (TN); Remote; USD 40,000 - 56,000; Full time

Benefits offered by this job

Medical benefits

Wellbeing support

Paid time off

401(k) match

Employee stock purchase plan

Tuition assistance

Fertility and family benefits

Life insurance

Job summary

HCA Healthcare, Inc. is seeking a Medicaid Eligibility Advocate to join a work-from-home team. The role involves screening patients for insurance coverage and government assistance, re-verifying benefits, and handling required documentation to determine eligibility.

Training and field visits may be required, with reliable transportation assumed for occasional duties. Qualified candidates typically hold an associate’s degree (preferred) and related healthcare experience.

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

Job description

HCA Healthcare, Inc. is seeking a Medicaid Eligibility Advocate to join a work-from-home team. The role involves screening patients for insurance coverage and government assistance, re-verifying benefits, and handling required documentation to determine eligibility.

Training and field visits may be required, with reliable transportation assumed for occasional duties. Qualified candidates typically hold an associate’s degree (preferred) and related healthcare experience.