Bilingual Medicaid Eligibility Advocate

3 weeks ago

Lodi, California, United States Adventist Health Lodi Memorial Full time
Job Summary

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

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.
  • 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.
Requirements
  • 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.
About Adventist Health Lodi Memorial

Adventist Health Lodi Memorial is a leading healthcare provider in the region, committed to delivering high-quality patient care and exceptional service. Our team of dedicated professionals is passionate about making a positive impact on the lives of our patients and their families.

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