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Medicaid Eligibility Advocate

MSCCN - Austin, TX

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Job Description

Schedule: Monday - Friday; 8:00am - 4:30pm Do you have the career opportunities as a Medicaid Eligibility Advocate you want with your current employer? We have an exciting opportunity for you to join St. David's Medical Center which is part of the nation's leading provider of healthcare services, HCA Healthcare. Job Summary and Qualifications The Medicaid Eligibility Advocate is responsible for conducting eligibility screenings, assessment of patient financial requirements, and counseling patients on insurance benefits and co-payments. The Medicaid Eligibility Advocate is a liaison between the patient, hospital, and governmental agencies and is actively involved in all case management areas. In this role you will: + Screen and evaluate patients for existing insurance coverage, federal and state assistance programs, or hospital charity application s . + Re-verifies 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 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 patientu2019s file and the hospital computer system. + Participates in ongoing, comprehensive training programs as required . + Follows policies and procedures to contribute to the efficiency of the office . Covers and assists with other office functions as requested . + Will be required to make field visits as necessary and will need reliable personal transportation readily available. Qualifications: + Associate degree preferred + Minimum of one-year related experience preferred, preferably in healthcare. + Relevant education may substitute experience requirements . Benefits St. David's Medical Center, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include: + Comprehensive benefits for medical, prescription drug, dental, vision, behavioral health and telemedicine services + Wellbeing support, including free counseling and referral services + Time away from work programs for paid time off, paid family leave, long- and short-term disability coverage and leaves of absence + Savings and retirement resources , including a 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service), Employee Stock Purchase Plan, flexible spending accounts, preferred banking partnerships, retirement readiness tools, rollover support and financial wellbeing counseling + Education support through tuition assistance, student loan assistance, certification support, dependent scholarships and a partnership with Galen College of Nursing + Additional benefits for fertility and family building, adoption assistance, life insurance, supplemental health protection plans, auto and home insurance, legal counseling, identity theft protection and consumer discounts Learn more about Employee Benefits ( _Note: Eligibility for benefits may vary by location._

Created: 2026-04-04

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