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Bilingual Medicaid Eligibility Advocate
2 months ago
The Medicaid Eligibility Advocate is a key member of our team at HCA Houston Healthcare Northwest, responsible for conducting eligibility screenings, assessments, 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.
- 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 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.
- Make field visits as necessary and have reliable personal transportation readily available.
- 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.