Remote Medicaid Eligibility & Benefits Specialist

HCA Healthcare, Inc.; Salem (VA); Hybrid; USD 21,000 - 32,000; Full time

Benefits offered by this job

Health benefits

401(k) match

Education support

Fertility benefits

Job summary

HCA Healthcare, Inc. is seeking a Medicaid Patient Support Representative to conduct eligibility screenings, assess financial needs, and counsel patients on insurance benefits and co-payments.

The role serves as a liaison between patients, the hospital, and government agencies to support comprehensive case management. Responsibilities include screening for insurance coverage and government programs, obtaining necessary authorizations and documentation, submitting applications, and updating

Qualifications

• Experience with government programs such as Medicaid or Medicare preferred.
• Minimum one-year related healthcare experience required.
• Remote work requires high-speed internet access (25 Mbps down, 15 Mbps up).

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.
• 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.

Skills

Eligibility screening

Healthcare experience

Government programs knowledge

Customer service

Job description

HCA Healthcare, Inc. is seeking a Medicaid Patient Support Representative to conduct eligibility screenings, assess financial needs, and counsel patients on insurance benefits and co-payments.

The role serves as a liaison between patients, the hospital, and government agencies to support comprehensive case management. Responsibilities include screening for insurance coverage and government programs, obtaining necessary authorizations and documentation, submitting applications, and updating