Job Purpose
The Patient Advocate supports uninsured and underinsured patients by helping them access financial assistance through state programs, hospital assistance programs, and federal benefits such as SSI / SSDI. The role involves completing applications, gathering documentation, and coordinating with government agencies to ensure patients receive the support they need.
Duties and Responsibilities
- Assist patients with applications for Medical Assistance (MA), hospital charity care, and SSI / SSDI
- Interview patients at the bedside and in the Emergency Room to assess eligibility and gather information
- Identify eligibility and collect required documentation
- Submit and track applications with the local assistance offices
- Provide support for Marketplace insurance when applicable
- Maintain accurate records and meet productivity goals
- Verify and update insurances
- Use, protect and disclose patients’ protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards
- Understand and comply with Information Security and HIPAA policies and procedures at all times
- Limit viewing of PHI to the absolute minimum as necessary to perform assigned duties
Qualifications
High school Diploma or equivalent is required, healthcare-related degree preferred2–3 years of experience in a customer service preferredBilingual in Spanish (spoken and written skills) a plusAbility to work at various client sites as neededAbility to work independently and be detail-orientedAbility to use the internet and learn databasesAbility to meet monthly productivity goalsProficiency in Microsoft Office SuiteStrong interpersonal skills, ability to communicate well at all levels of the organizationStrong problem solving and investigative skills and the ability to exercise sound judgment and make decisions based on accurate and timely analysesHigh level of integrity and dependability with a strong sense of urgency and results orientedExcellent written and verbal communication skills requiredGracious and welcoming personality for customer service interactionWorking Conditions
Physical Demands : While performing the duties of this job, the employee is required to move around the work area; light lifting required; Sit; perform manual tasks; operate tools and other office equipment such as computer, computer peripherals and telephones; extend arms; kneel; talk and hear.Mental Demands : The employee must be able to follow directions, collaborate with others, and handle stress.Work Environment : The noise level in the work environment is usually minimal.Med-Metrix will not discriminate against any employee or applicant for employment because of race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), parental status, national origin, age, disability, genetic information (including family medical history), political affiliation, military service, veteran status, other non-merit based factors, or any other characteristic protected by federal, state or local law.
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