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Bilingual Medicaid Eligibility Advocate

2 months ago

Houston, Texas, United States HCA Houston Healthcare Northwest Full time
Job Summary

The Medicaid Eligibility Advocate is a critical role within HCA Houston Healthcare Northwest, responsible for conducting eligibility screenings, assessments of patient financial requirements, and counseling patients on insurance benefits and co-payments.

Key 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 patients 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.
Qualifications
  • High School Diploma or GED or related experience in lieu.
  • Associate degree preferred
  • Minimum of one-year related experience preferred, preferably in healthcare.
  • Relevant education may substitute experience requirement.