Medicaid Eligibility Advocate in Los Angeles, CA at Parallon

Date Posted: 3/18/2018

Job Snapshot

  • Employee Type:
  • Location:
    1720 East Cesar E Chavez Avenue
    Los Angeles, CA
  • Job Type:
    Health Care
  • Experience:
    At least 3 year(s)
  • Date Posted:

Job Description

GENERAL SUMMARY OF DUTIES – 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.  


  • 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.
  • Will be required to make field visits as necessary.
  • Adheres to and supports organizational IT&S standards, policies, and procedures.
  • Adheres to Code of Conduct.
  • Performs other duties as assigned.

Job Requirements


  • 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.
  • 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.


  • College degree preferred or high school diploma (equivalent).
  • 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.



  • N/A