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HCA Holdings, Inc

Medicaid Eligibility Adv ME WFH

HCA Holdings, Inc - Saint Louis, MO

Job Description:

Job Code: 26588-143531

Full-time

Work From Home

POSITION SUMMARY: Responsible for conducting eligibility screenings, assessment of patient financial requirements, and counseling patients on insurance benefits and co-payments. The Benefits Advisor serves as a liaison between the patient, hospital, and governmental agencies; and is actively involved in all areas of case management.

Essential Job Functions:

* Screen and evaluate patients for existing insurance coverage, federal and state assistance programs, or hospital charity application.

* 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 patient's 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.

* All other duties as assigned

QUALIFICATIONS:

Knowledge: Working knowledge of medical terminology, practices and procedures, as well as laws, regulations, and guidelines. An understanding of patient confidentiality to protect the patient and the clinic/corporation.

Experience: A minimum three years of hospital/medical business office experience with insurance procedures and patient interaction. Strong familiarity with a variety of the field's concepts, practices and procedures. College degree preferred or high school diploma (equivalent).

Competencies: Demonstrated communication, problem solving and case management skills and the ability to act/decide accordingly. Ability to collect, synthesize and research complex or diverse information. Exceptional customer service and the ability to plan organize and exercise sound judgment.

Disclaimer: The above statements are intended to describe the general nature and level of work being performed. They are not intended to be an exhaustive list of responsibilities, duties and skills required.

Last Edited: 01/09/2018

6 days 6 hours ago

HCA Holdings, Inc

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Medicaid Eligibility Adv ME WFH HCA Holdings, Inc - Saint Louis, MO, United States

   

Location: Saint Louis, MO

Company Profile:
At its founding in 1968, Nashville-based HCA was one of the nation's first hospital companies. Today, we are the nation's leading provider of healthcare services, a company comprised of locally managed facilities that includes about 165 hospitals and 115 freestanding surgery centers in 20 states and England and employing approximately 204,000 people. Approximately four to five percent of all inpatient care delivered in the country today is provided by HCA facilities. Milton Johnson serves as Chairman and Chief Executive Officer of HCA. HCA is committed to the care and improvement of human life and strives to deliver high quality, cost effective healthcare in the communities we serve. Building on the foundation provided by our Mission & Values, HCA puts patients first and works to constantly improve the care we give them by implementing measures that support our caregivers, help ensure patient safety and provide the highest possible quality. Investing in our communities is important to us. HCA typically invests about $1.5 billion annually to keep our facilities modern and up-to-date technologically and to expand and add services where needed. Focusing primarily on communities where the company is a leading healthcare provider, HCA selectively adds new facilities in order to better serve our communities. And because two HCA founders were physicians, we value highly the strong relationships we've created with local physicians. We endeavor to provide them with a wide array of services and modern facilities in order to help them deliver the best possible care.