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Our services include scheduling, registration, insurance verification, hospital billing, revenue integrity, collections, payment compliance, credentialing, health information management, customer service, payroll and physician billing. We have an exciting opportunity for you to join Spotsylvania Regional Medical Center which is part of the nation's leading provider of healthcare services, HCA Healthcare.

<h4>Schedule: Monday - Friday; 8:00am - 4:30pm</h4>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 Spotsylvania Regional Medical Center which is part of the nation's leading provider of healthcare services, HCA Healthcare.<h5>Job Summary and Qualifications</h5><h6></h6><h5>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 serves as a liaison between the patient, hospital, and governmental agencies; and is actively involved in all areas of case management.In this role you will:<ul><li>Screen and evaluate patients for existing insurance coverage, federal and state assistance programs, or hospital charity applications.</li><li>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.</li><li>Obtain legally relevant medical evidence, physician statements and all other documentation required for eligibility determination.</li><li>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.</li><li>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.</li><li>Participates in ongoing, comprehensive training programs as required.</li><li>Follows policies and procedures to contribute to the efficiency of the office. Covers and assists with other office functions as requested.</li><li>Will be required to make field visits as necessary and will need reliable personal transportation readily available.</li></ul>Qualifications:<ul><li>Associate’s degree preferred</li><li>Minimum one-year related experience preferred, preferably in healthcare.</li><li>Relevant education may substitute experience requirement.</li><li>Bilingual skills are preferred</li></ul></h5><h5>Benefits</h5>Parallon, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:<ul><li>Comprehensive benefits for medical, prescription drug, dental, vision, behavioral health and telemedicine services</li><li>Wellbeing support, including free counseling and referral services</li><li>Time away from work programs for paid time off, paid family leave, long- and short-term disability coverage and leaves of absence</li><li>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</li><li>Education support through tuition assistance, student loan assistance, certification support, dependent scholarships and a partnership with Galen College of Nursing</li><li>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</li></ul><a href="https://careers.hcahealthcare.com/pages/employee-benefits-and-rewards" rel="noopener noreferrer nofollow" target="_blank">Learn more about Employee Benefits</a>Note: Eligibility for benefits may vary by location."<a href="" rel="nofollow">Parallon</a> provides full-service revenue cycle management, or total patient account resolution, for HCA Healthcare. Our services include scheduling, registration, insurance verification, hospital billing, revenue integrity, collections, payment compliance, credentialing, health information management, customer service, payroll and physician billing. We also provide full-service revenue cycle management as well as targeted solutions, such as Medicaid Eligibility, for external clients across the country. Parallon has over 17,000 colleagues, and serves close to 1,000 hospitals and 3,000 physician practices, all making an impact on patients, providers and their communities.HCA Healthcare has been recognized as one of the World’s Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.
"<blockquote class="neu-text--h4 neu-text--heavy neu-text--hca-orange neu-text--align-center neu-padding--20">"Bricks and mortar do not make a hospital. People do."- Dr. Thomas Frist, Sr. 
 HCA Healthcare Co-Founder</blockquote>If you are looking for an opportunity that provides satisfaction and personal growth, we encourage you to apply for our Medicaid Eligibility Advocate opening. We promptly review all applications. Highly qualified candidates will be contacted for interviews. Unlock the possibilities and apply today!<cite>We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.</cite>

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. Richard M. Bracken serves as Chairman of HCA and R. Milton Johnson is the company's President and Chief Executive Officer. 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.

HCA Healthcare

Medicaid Eligibility Advocate

Banking Services

Behavioral Health

Billing

Case Management

Co-Payments

Computer Systems

Credit and Collections

Customer Support/Service

Demographics

Documentation

Financial Analysis

Flexible Spending Accounts

Government

Health Information Management

Healthcare

Healthcare Providers

Hospital

Hospital Systems

Insurance

Medicaid

Medical Billing

Medical Records

Multilingual

Patient Assessment

Patient Education

Patient Follow-up

Prescription Drugs

Revenue Management

Stock Purchase Plans

Telemedicine

Time Management

Training Program

Treatment Plan

Jobvite Talemetry Organic Easy Apply

OTHER

Assist clinicians, providers, and members with treatment-related tasks, including prescription management, toxicology submissions, prescription coordination, appointment scheduling, and responding to member inquiries via various communication channels (phone, SMS, email, chat, etc.). The Recovery Support Coordinator at Groups is a vital member of the care team, working directly with members to provide recovery support services and coordinate care across clinical, social, and community settings.

YEAR

Overview:
<img alt="Screenshot 2025-03-13 170911" src="https://groupsrecovertogether.icims.com/icims2/servlet/icims2?module=AppInert&action=download&id=102156&hashed=213592023"/> Groups is a leading outpatient provider specializing in substance use disorder (SUD) treatment. We are committed to supporting underserved communities hit hardest by the opioid crisis. Since 2014, our local care teams have guided hundreds of thousands of individuals on their path to recovery, helping them reclaim their purpose and dignity through compassionate, collaborative care.Our evidence-based approach combines medication, group therapy, and personalized support, delivered online and in person by local providers. Founded on the belief that recovery extends beyond the traditional office visit, Groups helps members build a foundation for long-term recovery and the fulfilling lives they want and deserve. Together with our community partners, public agencies, and health plans, we are raising the bar in addiction health care—and we’re just getting started. Groups is changing lives. Join us. The Recovery Support Coordinator at Groups is a vital member of the care team, working directly with members to provide recovery support services and coordinate care across clinical, social, and community settings. The Recovery Support Coordinator assists a defined panel of 160-180 members with Health-Related Social Needs (HRSN), treatment engagement,  seamless care coordination, and overall member wellness throughout their recovery journey. Recovery support interventions are an integral part of our care model, driving positive member outcomes and engagement in treatment. This position reports to the Recovery Operations Supervisor and receives clinical supervision from the local clinical leadership team. <div class=""><div class="relative w-full overflow-visible"><section class="text-token-text-primary w-full focus:outline-none has-data-writing-block:pointer-events-none [&:has([data-writing-block])>*]:pointer-events-auto R6Vx5W_threadScrollVars scroll-mb-[calc(var(--scroll-root-safe-area-inset-bottom,0px)+var(--thread-response-height))] scroll-mt-(--header-height)" dir="auto"></section><div class="contents"> </div></div></div>Salary Range: $46,684 - $56,697Schedule:<ul><li>Monday: 10:00 AM – 8:00 PM (On-site)</li><li>Tuesday: 9:00 AM – 7:00 PM (On-site)</li><li>Wednesday: 10:00 AM – 8:00 PM (Virtual)</li><li>Thursday: 9:00 AM – 7:00 PM (On-site)</li></ul>

Responsibilities:
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this position.Member Support & Care Coordination<ul style="margin-top:0;margin-bottom:0"><li style="font-size:11pt;font-family:'arial' , sans-serif;color:#000000;font-weight:400">Collaborate with a multidisciplinary care team—including counselors, prescribers, and other cross-functional team members—to ensure the delivery of high-quality, member-centered care.  This includes participation in regular interdisciplinary case conference meetings to drive care team decision making. </li><li style="font-size:11pt;font-family:'arial' , sans-serif;color:#000000;font-weight:400">Build trusted relationships with members to drive change and assist members in achieving their recovery goals through empathy, motivational interviewing, and the use of lived experience (where applicable).</li><li style="font-size:11pt;font-family:'arial' , sans-serif;color:#000000;font-weight:400">Assist members in identifying personal and treatment-related goals, providing individual coaching, coping skill support, and engagement in recovery activities.</li><li style="font-size:11pt;font-family:'arial' , sans-serif;color:#000000;font-weight:400">Support unengaged members to reengage in treatment services through intensive outreach interventions.</li><li style="font-size:11pt;font-family:'arial' , sans-serif;color:#000000;font-weight:400">Support new members by introducing them to the Groups care model and supporting them through the transition to care through outreach and engagement efforts. </li><li style="font-size:11pt;font-family:'arial' , sans-serif;color:#000000;font-weight:400">Provide in-person, virtual, and telephonic support based on member and regional needs.</li><li style="font-size:11pt;font-family:'arial' , sans-serif;color:#000000;font-weight:400">Maintain a shared caseload, collaborating with the care team to ensure coordinated service delivery and removal of barriers to care.</li><li style="font-size:11pt;font-family:'arial' , sans-serif;color:#000000;font-weight:400">Support the completion of care pathways for members who are in special populations (i.e. members at the highest risk of disengagement or a poor outcome). </li><li style="font-size:11pt;font-family:'arial' , sans-serif;color:#000000;font-weight:400">Link members to healthcare, behavioral health, social service, and community-based resources; follow up to confirm needs are met.</li><li style="font-size:11pt;font-family:'arial' , sans-serif;color:#000000;font-weight:400">Assist members in navigating practical systems such as insurance, pharmacy, housing, and transportation, empowering them to advocate for their own needs.</li><li style="font-size:11pt;font-family:'arial' , sans-serif;color:#000000;font-weight:400">Manage referrals, releases of information (ROIs), and other documentation to facilitate smooth transitions of care.</li><li style="font-size:11pt;font-family:'arial' , sans-serif;color:#000000;font-weight:400">Serve as a community connector and advocate, promoting recovery-positive language, reducing stigma, and fostering inclusion within community networks. Become an expert in local community resources and recovery networks.</li></ul>Administrative & Operational Support<ul style="margin-top:0;margin-bottom:0"><li style="font-size:11pt;font-family:'arial' , sans-serif;color:#000000;font-weight:400">Deliver outstanding customer service to members, visitors, and community partners.</li><li style="font-size:11pt;font-family:'arial' , sans-serif;color:#000000;font-weight:400">Maintain accurate, timely, and compliant documentation in the electronic health record (EHR).</li><li style="font-size:11pt;font-family:'arial' , sans-serif;color:#000000;font-weight:400">Support daily operations, including group facilitation logistics, scheduling assistance, office maintenance, and safety standards.</li><li style="font-size:11pt;font-family:'arial' , sans-serif;color:#000000;font-weight:400">Assist clinicians, providers, and members with treatment-related tasks, including prescription management, toxicology submissions, prescription coordination, appointment scheduling, and responding to member inquiries via various communication channels (phone, SMS, email, chat, etc.).</li><li style="font-size:11pt;font-family:'arial' , sans-serif;color:#000000;font-weight:400">Participate in weekly interdisciplinary team meetings and ongoing continuing education as required.</li></ul>Other Duties & Responsibilities : <ul style="margin-top:0;margin-bottom:0"><li><ul style="margin-top:0;margin-bottom:0"><li style="font-size:11pt;font-family:'noto sans symbols' , sans-serif;color:#000000;font-weight:400">Engage in community outreach activities and education, as necessary.</li></ul></li></ul><ul><li style="font-size:11pt;font-family:'noto sans symbols' , sans-serif;color:#000000">Perform other duties as assigned.</li></ul>Knowledge, Skills, and Abilities:<ul style="margin-top:0;margin-bottom:0"><li style="font-size:11pt;font-family:'arial' , sans-serif;color:#000000;font-weight:400">Strong interpersonal and communication skills, with the ability to build trust and motivate members in recovery.</li><li style="font-size:11pt;font-family:'arial' , sans-serif;color:#000000;font-weight:400">Knowledge of recovery-oriented care, harm reduction, motivational interviewing, and trauma-informed practices.</li><li style="font-size:11pt;font-family:'arial' , sans-serif;color:#000000;font-weight:400">Ability to identify and navigate and connect members to appropriate community resources and support systems.</li><li style="font-size:11pt;font-family:'arial' , sans-serif;color:#000000;font-weight:400">Excellent organizational and time-management and problem-solving skills, with the ability to handle multiple priorities.</li><li style="font-size:11pt;font-family:'arial' , sans-serif;color:#000000;font-weight:400">Ability to maintain confidentiality, professional boundaries, and a high standard of ethics.</li><li style="font-size:11pt;font-family:'arial' , sans-serif;color:#000000;font-weight:400">Proficiency in G-Suite, email, electronic medical records, and other digital tools.</li><li style="font-size:11pt;font-family:'arial' , sans-serif;color:#000000;font-weight:400">Strong problem-solving skills and adaptability in a team-based environment.</li><li style="font-size:11pt;font-family:'arial' , sans-serif;color:#000000;font-weight:400">Commitment to Groups’ mission and values, including member-centered care and recovery support.</li><li style="font-size:11pt;font-family:'arial' , sans-serif;color:#000000;font-weight:400">Ability to work evenings or flexible hours as needed.</li></ul>

Qualifications:
<ul style="margin-top:0;margin-bottom:0"><li style="font-size:11pt;font-family:'arial' , sans-serif;color:#000000;font-weight:400">High school diploma required; Associate’s degree in Social Services, Human Services, Psychology, or related field preferred. </li><li style="font-size:11pt;font-family:'arial' , sans-serif;color:#000000;font-weight:400">Additional minimal educational requirements vary by state, and may include:</li></ul><ul style="margin-top:0;margin-bottom:0"><li style="font-size:11pt;font-family:'arial' , sans-serif;color:#000000;font-weight:400;margin-left:36pt">Bachelor’s degree in related field (Virginia and Tennessee)</li><li style="font-size:11pt;font-family:'arial' , sans-serif;color:#000000;font-weight:400;margin-left:36pt">Associate’s degree with one year experience; or MHRT/C or Community Health Worker certification (Maine)</li></ul><ul style="margin-top:0;margin-bottom:0"><li style="font-size:11pt;font-family:'arial' , sans-serif;color:#000000;font-weight:400">Peer Support Specialist / Peer Recovery Coach certification may be preferred or required in select programs or states, if applicable.</li><li style="font-size:11pt;font-family:'arial' , sans-serif;color:#000000;font-weight:400">Minimum of two (2) years’ experience in case management, care coordination, peer support, or a related field preferred; and experience working with individuals with substance use or mental health challenges preferred.</li><li style="font-size:11pt;font-family:'arial' , sans-serif;color:#000000;font-weight:400">Experience using Electronic Health Records (EHR).</li><li style="font-size:11pt;font-family:'arial' , sans-serif;color:#000000;font-weight:400">Reliable internet access (50M download / 10M upload) and strong WiFi if working remote.</li><li style="font-size:11pt;font-family:'arial' , sans-serif;color:#000000;font-weight:400">Must meet state-specific background screening and pre-employment requirements (which may include fingerprinting, drug testing, CPR/First Aid, or health screening).</li><li style="font-size:11pt;font-family:'arial' , sans-serif;color:#000000;font-weight:400">Valid driver’s license and access to a vehicle (if role includes community travel).</li></ul>

Advocate Jobs in Culpeper, VA

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Advocate Jobs in Culpeper, VA

Medicaid Eligibility Advocate HCA Healthcare

Recovery Support Coordinator Groups Recover Together, Inc.

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