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
Other duties as assigned
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 preferred
2–3 years of experience in a customer service preferred
Bilingual in Spanish (spoken and written skills) a plus
Ability to work at various client sites as needed
Must possess reliable transportation to ensure consistent on-site attendance and punctuality
Ability to use the internet and learn databases
Ability to meet monthly productivity goals
Proficiency in Microsoft Office Suite
Strong interpersonal skills, ability to communicate well at all levels of the organization
Strong problem solving and investigative skills and the ability to exercise sound judgment and make decisions based on accurate and timely analyses
High level of integrity and dependability with a strong sense of urgency and results oriented
Excellent written and verbal communication skills required

Working Conditions

Must possess a smart-phone or electronic device capable of downloading applications, for multifactor authentication and security purposes.
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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