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Healthcare Eligibility Coordinator

2 months ago

Augusta, Maine, United States Doctors Hospital of Augusta Full time

Position Overview

Schedule: Monday-Friday 8:00AM-4:30PM, On-site

Introduction

Are you seeking a workplace that values diversity and inclusion? Join our team at Doctors Hospital of Augusta as a Medicaid Eligibility Advocate and experience the essence of being part of the HCA Healthcare family.

Benefits

At Doctors Hospital of Augusta, we offer a comprehensive rewards package designed to support the health, life, career, and retirement of our team members. Our benefits include:

  • Extensive medical coverage with low or no cost for many services, including prescription drugs and behavioral health support, along with free telemedicine and AirMed medical transportation.
  • Options for dental and vision coverage, life and disability insurance, flexible spending accounts, supplemental health plans, and more.
  • Complimentary counseling services for emotional, physical, and financial wellness.
  • 401(k) plan with a 100% match on contributions between 3% to 9% based on tenure.
  • Employee Stock Purchase Plan offering a discount on HCA Healthcare stock.
  • Support for family planning and adoption through specialized benefits.
  • Referral services for various personal needs, including childcare and home repairs.
  • Consumer discounts and financial assistance programs.
  • Education assistance including tuition support and scholarships.
  • Recognition programs for colleagues.
  • Paid time off and family leave options.
  • Employee Health Assistance Fund providing free coverage based on income.

Note: Eligibility for benefits may vary by location.

We are looking for a Medicaid Eligibility Advocate to join our team, ensuring that we continue to deliver high-quality, efficient care to all patients. If you are passionate about patient care, we encourage you to consider this opportunity.

Job Responsibilities and Qualifications

The Medicaid Eligibility Advocate will be responsible for performing eligibility assessments, evaluating patient financial needs, and advising patients on their insurance benefits and co-payments. This role serves as a key liaison among patients, the hospital, and governmental agencies, engaging in all aspects of case management.

Key Responsibilities:

  • Assess and screen patients for current insurance coverage, state and federal assistance programs, or hospital charity applications.
  • Verify benefits and secure necessary authorizations before treatment initiation, ensuring all required signatures are obtained.
  • Gather relevant medical documentation and physician statements for eligibility determinations.
  • Complete and submit applications, maintaining communication with patients and government agency representatives to ensure timely processing.
  • Accurately collect and enter insurance, demographic, and eligibility data into the system, documenting all interactions.
  • Participate in ongoing training programs as required.
  • Adhere to office policies and assist with various administrative functions as needed.
  • Field visits may be required, necessitating reliable personal transportation.

Qualifications:

  • High School Diploma or GED, or relevant experience in lieu of formal education.
  • Associate degree preferred.
  • At least one year of related experience, preferably in a healthcare setting.
  • Relevant education may substitute for experience requirements.

Parallon provides comprehensive revenue cycle management services for HCA Healthcare, including scheduling, registration, insurance verification, billing, and customer service. With over 17,000 colleagues, we support nearly 1,000 hospitals and 3,000 physician practices nationwide.

HCA Healthcare has been recognized multiple times as one of the World's Most Ethical Companies by the Ethisphere Institute. In recent years, HCA Healthcare has invested significantly in charitable care and support for the uninsured.

If you find this opportunity appealing, we encourage you to consider applying for the Medicaid Eligibility Advocate position. We value diversity and are an equal opportunity employer.