Medicaid Eligibility Specialist

Summary

Medicaid Eligibility Specialist

A healthcare organization is seeking a Hospital Representative to support patients within a hospital setting in Montgomery County, PA. This position will assist patients and families with determining eligibility for Medical Assistance and other available healthcare benefit programs.

Responsibilities

• Assist patients with applications for Medical Assistance/Medicaid and other eligible state, federal, or hospital assistance programs
• Interview patients and family members to gather financial, demographic, and eligibility information
• Complete and submit applications accurately and within required timelines
• Verify insurance coverage and patient eligibility
• Obtain required documentation from patients, family members, employers, financial institutions, and government agencies
• Maintain accurate documentation of patient interactions, application status, and follow-up activity
• Communicate with patients regarding outstanding information and next steps
• Work with hospital departments and external agencies to resolve eligibility-related issues
• Maintain patient confidentiality and adhere to applicable healthcare and compliance requirements
• Complete additional eligibility and patient advocacy responsibilities as assigned

Qualifications

• Strong written and verbal communication skills
• Excellent interpersonal and customer service skills
• Detail-oriented with strong organizational and follow-up abilities
• Previous Medicaid or Medical Assistance experience is highly preferred

Schedule & Training

Regular Schedule: Monday–Friday, approximately 8:30 AM–5:00/5:30 PM

Additional Requirements

• Reliable transportation and a valid driver's license
• Ability to work fully on-site
• Ability to move throughout a hospital environment and between departments as needed

Job Description

Medicaid Eligibility Specialist

A healthcare organization is seeking a Hospital Representative to support patients within a hospital setting in Montgomery County, PA. This position will assist patients and families with determining eligibility for Medical Assistance and other available healthcare benefit programs.

Responsibilities

• Assist patients with applications for Medical Assistance/Medicaid and other eligible state, federal, or hospital assistance programs
• Interview patients and family members to gather financial, demographic, and eligibility information
• Complete and submit applications accurately and within required timelines
• Verify insurance coverage and patient eligibility
• Obtain required documentation from patients, family members, employers, financial institutions, and government agencies
• Maintain accurate documentation of patient interactions, application status, and follow-up activity
• Communicate with patients regarding outstanding information and next steps
• Work with hospital departments and external agencies to resolve eligibility-related issues
• Maintain patient confidentiality and adhere to applicable healthcare and compliance requirements
• Complete additional eligibility and patient advocacy responsibilities as assigned

Qualifications

• Strong written and verbal communication skills
• Excellent interpersonal and customer service skills
• Detail-oriented with strong organizational and follow-up abilities
• Previous Medicaid or Medical Assistance experience is highly preferred

Schedule & Training

Regular Schedule: Monday–Friday, approximately 8:30 AM–5:00/5:30 PM

Additional Requirements

• Reliable transportation and a valid driver's license
• Ability to work fully on-site
• Ability to move throughout a hospital environment and between departments as needed