Medicaid Eligibility Advocate (Madisonville)

HCA Healthcare in Madisonville, TN

  • Industry: Financial Services - Insurance - Claim Adjuster
  • Type: Full Time
  • $61,160.00 - 86,920.00
position filled

Description

Do you have exceptionalcustomer service and the ability to plan organize and exercise soundjudgment? Do you demonstrate communication, problem solving and casemanagement skills and the ability to act/decide accordingly? Now is the time to join our team of motivated and nurturing individualsworking to assist patients with their Medicaid Eligibility screening andenrollment. Ideal candidates will have a steady work knowledge ofmedical terminology, practices and procedures, as well as laws, regulations,and guidelines. You should also share a passion for our purpose, "Toserve and enable those who care for and improve human life in theircommunity."

Does this sound likeyou? If so,APPLY TODAY. See what makes usa fabulous place to work!

WHAT WE CAN OFFER YOU:

  • We offer you an excellent total compensation package, includingcompetitive salary, excellent benefit package andgrowth opportunities. We believe deeply in our team and your ability to do excellent work with us.
  • Your benefits package allows you to select the options that best meet the needs of you and your family.Benefitsinclude401k, paid time off medical, dental, flex spending, life, disability, tuition reimbursement, employee discount program, employee stock purchase program and student loan repayment.
  • WHAT YOU WILL DO:
  • Responsible for conducting eligibility screenings, assessment of patient financial requirements, and counseling patients on insurance benefits and co-payments.
  • Serve as a liaison between the patient, hospital, and governmental agencies; and you will be actively involved in all areas of case management.
  • Screen and evaluate patients for existing insurance coverage, federal and state assistance programs, or hospital charity application.
  • Re-verify 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 legal relevant medical evidence, physician statements and all other documentation required for eligibility determination, and 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.
  • Document progress notes to the patient's file and the hospital computer system.
  • Participate in ongoing, comprehensive training programs as required.
  • Required to make field visits as necessary.
  • Qualifications

  • College degree preferred or high school diploma (equivalent).
  • Preferred three years of hospital/medical business office experience with insurance procedures and patient interaction
  • Understanding of patient confidentiality to protect the patient and the clinic/corporation.
  • Ability to collect, synthesize and research complex or diverse information.
  • ABOUT US

    Parallon is an industryleader in revenue cycle services. We partner with over 650 hospitalsand 2,400 physician practices nation-wide. Our parent company, HCA Healthcarehas been consistently named a Worlds Most Ethical Company byEthisphere and is ranked in the Fortune 100. We are dedicated to ensuring ourpatients have the best experience even after they leave our facilities.

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

    status.

    #ParallonBCOM


    Associated topics: auto, bodily, casualty, damage, fraud, insurance, insurance adjuster, insurance examiner, investigate, title examiner

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