Patient Advocate Specialist - Orlando Health Bayfront Hospital
About The Position
The Patient Advocate Specialist plays a critical role in identifying, educating, and enrolling eligible hospital patients into the Health Insurance Premium Payment (HIPP) Program. This is a full-time, 4-day-per-week on-site role based at Orlando Health Bayfront Hospital, where you’ll work directly with patients and hospital partners. You'll clearly explain program details, gather required documentation, and serve as a compassionate, professional advocate throughout each step of the enrollment process. This role demands mission-driven advocacy, proactive problem-solving, empathetic communication, and resilience—all while balancing compassion with an urgency to ensure patients receive timely support. By facilitating employer-sponsored health insurance coverage, the Patient Helper Program helps medically complex Medicaid beneficiaries access comprehensive care. We’re looking for driven individuals with a “can-do” spirit, unwavering perseverance, and the capacity to support diverse patient populations navigating complex healthcare systems.
Requirements
- High school diploma or GED and completion of formal training in customer service, patient services, healthcare administration, social services, or case management.
- Foundational knowledge of healthcare terminology and insurance processes gained via coursework or certification.
- Ability to pass hospital credentialing, including vaccinations and drug/alcohol screening.
Nice To Haves
- Associate’s or Bachelor’s degree in Social Work, Healthcare Administration, Public Health, or related field.
- Training in motivational interviewing, trauma-informed care, or medical billing/coding.
- Continuing education in Medicaid/Medicare eligibility, health equity, or patient advocacy.
- Three-Five years’ experience in patient-facing roles within a healthcare setting.
- Full Bilingual proficiency in Spanish is strongly preferred.
- Proficiency with CRM or case management systems.
- Knowledge of Medicaid/Medicare eligibility and benefits coordination.
- Ability to interpret medical billing and insurance documents.
- Strong compliance-based documentation practices.
Responsibilities
- Educate patients and families in a clear, compassionate, and culturally sensitive manner about the HIPP program.
- Assess family dynamics and adapt communication style to effectively meet their needs.
- Obtain necessary authorizations and documentation from patients/families.
- Foster trust with patients while maintaining appropriate professional boundaries.
- Demonstrate cultural competence and empathy when engaging with vulnerable populations.
- Accurately collect all essential data for HIPP applications (e.g., employer information, insurance details).
- Employ proactive problem-solving to overcome barriers and ensure timely, accurate submissions.
- Collaborate seamlessly with the Patient Financial Assistance (PFA) team to finalize enrollments.
- Consistently deliver against performance metrics such as enrollments completed, case resolution time, and documentation accuracy.
- Clarify how employer-provided health insurance works in coordination with Medicaid.
- Verify and update ongoing patient eligibility for HIPP to maintain continuity.
- Assist with resolving insurance-related issues upon request from patients or clients.
- Utilize PFA’s CRM/case management system to manage referrals and patient records.
- Upload, scan, and securely transmit required documentation.
- Record patient interactions meticulously in compliance with privacy and legal standards.
- Efficiently operate Apple tools such as iPads and iPhones for enrollment-related tasks.
- Represent PFA as the onsite contact at the hospital.
- Establish and maintain collaborative relationships with hospital staff, state agency personnel, and community partners.
- Always uphold the organization’s values with ethical integrity and professionalism.
Benefits
- Medical coverage through UnitedHealthcare
- Dental coverage through Guardian
- Vision coverage through Guardian
- Employer-paid life insurance
- Employer-paid disability insurance
- 401(k) plan with company match
- Up to $100 annual reimbursement for fitness, mindfulness, and wellness activities
- Access to mental health tools like the Calm Health app
- 24/7 Employee Assistance Program
- Flexible spending accounts
- Nationwide fitness programs
- Virtual care
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED
