Medicaid Eligibility Representative at White Rock Medical Center LLC

Dallas, Texas, United States -

Full Time

Start Date

Immediate

Expiry Date

08 Apr, 26

Salary

0.0

Posted On

08 Jan, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Medicaid Eligibility, Patient Access, Financial Counseling, Healthcare Registration, Documentation Accuracy, Communication Skills, Customer Service, Patient Advocacy, EHR Platforms, Attention to Detail, Bilingual, HIPAA Compliance, CMS Regulations, Application Processes, State Medicaid Portals, Social Services

Industry

Hospitals and Health Care

Description

Description Screen patients for Medicaid and other government program eligibility at bedside, registration, or via telephone. Complete and submit Medicaid applications accurately and timely in accordance with state and federal guidelines. Obtain and verify required documentation including income, residency, citizenship, disability, and household information. Educate patients and families on Medicaid benefits, eligibility requirements, and application processes. Act as liaison between patients, hospital departments, and state Medicaid offices. Track application status, follow up on pending cases, and resolve denials or requests for additional information. Document all eligibility activities in the hospital’s electronic health record (EHR) and eligibility systems. Collaborate with Patient Access, Case Management, Social Services, and Billing departments to ensure continuity of coverage. Ensure compliance with HIPAA, CMS regulations, and hospital policies. Meet productivity and quality benchmarks related to application approvals and turnaround times. Assist with audits, reporting, and performance improvement initiatives related to Medicaid eligibility. Maintain up-to-date knowledge of Medicaid policy changes and eligibility criteria. Requirements Minimum of 2-3 years' experience in Medicaid eligibility, patient access, financial counseling, or healthcare registration Knowledge of Medicaid eligibility rules and application processes Proficiency with electronic eligibility systems and EHR platforms Strong attention to detail and documentation accuracy Excellent verbal and written communication skills Ability to handle sensitive financial and personal information with discretion Strong customer service and patient advocacy skills Associate’s degree or higher in healthcare administration, social services, or related field Hospital or acute care experience Experience with state Medicaid portals and verification tools Bilingual (English/Spanish) preferred Familiarity with CMS, SSI, disability Medicaid, and emergency Medicaid programs May include weekends, holidays, or extended hours based on patient census and hospital needs.

Responsibilities

The Medicaid Eligibility Representative screens patients for Medicaid eligibility, completes applications, and educates patients on benefits and processes. They also track application statuses and collaborate with various hospital departments to ensure coverage continuity.