Remote Medicaid Eligibility Specialist

RemoteFetch; Nashville (TN); Remote; USD 42,000 - 62,000; Full time

Benefits offered by this job

Medical & dental benefits

Vision and telemedicine services

401(k) with match

Education support

Family leave & disability coverage

Life insurance

Job summary

Parallon, part of HCA Healthcare, is seeking a Work from Home Medicaid Eligibility Advisor. You will screen and evaluate patients for coverage and assistance programs, verify benefits, gather medical evidence, and complete applications while coordinating with government caseworkers.

The role emphasizes accuracy in data entry, adherence to policies, and participation in ongoing training. A reliable vehicle for field visits may be required 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.
• 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

Healthcare experience

Customer service

Attention to detail

Education

Associate's degree preferred

Job description

Parallon, part of HCA Healthcare, is seeking a Work from Home Medicaid Eligibility Advisor. You will screen and evaluate patients for coverage and assistance programs, verify benefits, gather medical evidence, and complete applications while coordinating with government caseworkers.

The role emphasizes accuracy in data entry, adherence to policies, and participation in ongoing training. A reliable vehicle for field visits may be required as needed.