Bilingual Medicaid Eligibility Specialist

4 weeks ago


San Jose, California, United States Regional Medical Center of San Jose Full time
Job Summary

The Regional Medical Center of San Jose is seeking a highly skilled Bilingual Medicaid Eligibility Advocate to join our team. As a key member of our healthcare team, you will be responsible for conducting eligibility screenings, assessing patient financial requirements, and providing counseling 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.
  • Obtain legally relevant medical evidence, physician statements, and all other documentation required for eligibility determination.
  • Complete and file applications, and 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, and document progress notes to the patient's 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 Us

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



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