Medicaid Eligibility Advocate

Schedule: Monday - Friday; 11:00am - 7:30pm

The Medicaid Eligibility Advocate is responsible for conducting eligibility screenings, assessing patient financial requirements, and counseling patients on insurance benefits and co‑payments. The role serves as a liaison between the patient, hospital, and governmental agencies and is actively involved in all areas of case management.

• Screen and evaluate patients for existing insurance coverage, federal and state assistance programs, or hospital charity applications.
• Re‑verify benefits and obtain authorization and/or referral after the treatment plan has been discussed, prior to initiation of treatment. Ensure 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, initiating and maintaining 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.
• Participate in ongoing, comprehensive training programs as required.
• Follow policies and procedures to contribute to the efficiency of the office. Cover and assist with other office functions as requested.
• Will be required to make field visits as necessary and will need reliable personal transportation readily available.

• Associate’s degree preferred.
• Minimum one‑year related experience preferred, preferably in healthcare.
• Relevant education may substitute the experience requirement.

• Comprehensive benefits for medical, prescription drug, dental, vision, behavioral health and telemedicine services.
• Well‑being support, including free counseling and referral services.
• Time away from work programs for paid time off, paid family leave, long‑ and short‑term disability coverage and leaves of absence.
• Savings and retirement resources, including a 401(k) plan with a 100% match on 3% to 9% of pay (based on years of service), an employee stock purchase plan, flexible spending accounts, preferred banking partnerships, retirement readiness tools, rollover support and financial well‑being counseling.
• Education support through tuition assistance, student loan assistance, certification support, dependent scholarships and a partnership with Galen College of Nursing.
• Additional benefits for fertility and family building, adoption assistance, life insurance, supplemental health protection plans, auto and home insurance, legal counseling, identity theft protection and consumer discounts.

Note:

Eligibility for benefits may vary by location.

We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.