Description:
Responsible for building working relationships, solving problems and supporting patients while they learn the coverage options on both a federal and state level. An On-Site Patient Advocate exhibits superior customer service skills and provides prompt courteous service to patients. They work as part of a team in a Hospital environment and also on an independent level. The On-Site Patient Advocate must ensure that methodologies, policies and procedures are deployed to guarantee the highest quality standards with “patient first ideology” as a goal.

Responsibilites:

• Handles a high volume of face-to-face interactions with patients
• Communicate clearly, timely, and positively with patients
• Good communication skills and interpersonal skills
• Ability to learn quickly and navigate effectively through multiple systems
• Professional attitude, and able to maintain composure in urgent or confrontational situations
• Effective critical thinking, problem solving and decision-making skills
• Display strong organization/time management skills
• Work independently and must be multi-task oriented
• Team player attitude
• Collects and reviews patient information to determine patient’s eligibility
• Prepares documents and reviews them for accuracy and completeness
• Maintains and/or creates files or record keeping systems. Sorts, labels files and retrieves documents or other materials
• Completes various insurance application after determining patient’s eligibility
• Provides account follow up on a routine basis
• Ensures adequate documentation is maintained
• Develops and retains professional relationship with hospital staff
• Maintains confidentiality at all times (i.e. PHI and HIPAA)
• Any other duties as assigned by management
• Exemplifies the Mission/Vision/Core Values of The WellFund in all personal and professional behavior and is a role model to all associates
• Collaborates with manager to identify own learning needs and set goals using available resources to meet these needs/goals
• Maintains working knowledge of departmental/hospital policies and procedures through participation and by reading updates and other provided communication
• Works in collaboration with other departmental associates, as well as other hospital associates supporting their efforts through teamwork and the acceptance of additional assignments

Requirements:

• Computer proficiency skills are required
• Ability to learn multiple databases
• Ability to multi-task (speaking on the phone and typing)
• Excellent verbal and written communication skills
• Ability to work in fast-paced, changing environment
• High school diploma or equivalency
• One year of experience as a Patient Advocate or an equivalency of training and experience combined
• Considerable knowledge of Medicaid programs
• Considerable knowledge of the Federal Marketplace
• General knowledge of all agency and provider programs and services which could affect the client/applicant
• Good mathematical reasoning and computational skills
• Ability to read, analyze, and interpret rules, regulations and procedures
• Ability to communicate with clients/applicants, the public at large, and public officials to obtain data, and to explain and interpret rules, regulations and procedures
• Ability to work with others on your team to complete a task
• Ability to perform job functions within structured time frames
• Must have the ability to perform repeated tasks with a high level of accuracy
• Must have working knowledge of HIPAA and Red Rule regulations

Job Type: Full-time

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Disability insurance
• Employee assistance program
• Health insurance
• Life insurance
• Paid time off
• Paid training
• Retirement plan
• Vision insurance

Schedule:

• Monday to Friday
• Weekend availability

Work Location: One location

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