Bilingual Medicaid Eligibility Advocate

About This Role

The Bilingual Medicaid Eligibility Advocate conducts eligibility screenings, assesses patient financial requirements, and counsels patients on insurance benefits. This role serves as a liaison between the patient, hospital, and governmental agencies, actively participating in case management.

Responsibilities

• Screen and evaluate patients for existing insurance coverage, federal and state assistance programs, or hospital charity applications.
• Re-verify benefits and obtain authorization and/or referral after treatment plan has been discussed, prior to initiation of treatment.
• Ensure appropriate signatures are obtained on all necessary forms.
• 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.
• 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.
• Make field visits as necessary and have reliable personal transportation readily available.

Requirements

• Bilingual skills

Qualifications

• Associate’s degree preferred
• Minimum one-year related experience preferred, preferably in healthcare. Relevant education may substitute experience requirement.

Nice to Have

• Associate’s degree
• One-year related experience, preferably in healthcare

Benefits