Patient Advocate

Complete Health•Birmingham, AL

3d•$17 - $25

About The Position

Under direction of the Value Based Care (VBC) Leadership, the Patient Advocate provides and facilitates communication of basic health information, and performs clerical, clinical documentation, including insurance information benefits for support services for patients in VBC. Serves as telephonic and clerical support for the VBC patients and provides services such as appointment scheduling and medical record retrieval. Provides basic social services and application assistance for VBC patients as needed and is responsible for ensuring billing and documentation is complete for VBC patients. The Patient Advocate also assists in the development and implementation of patient campaigns for health risk assessments, annual wellness visits, and other prevention strategies as designated by the VBC leadership.

Requirements

High school diploma or a GED is required
Minimum of 2 years medical clinic front office and/or medical assistant experience is required; or equivalent combination of education and experience
Strong computer skills and proficiency in internet software and knowledge of Microsoft Office products required
Able to effectively utilize an electronic health record

Nice To Haves

Basic knowledge of Medical Insurance is preferred
Basic knowledge of Medicare plans including Medicare Advantage (MA) HMO, PPO, C-SNP, D-SNP; Duals) is preferred
Athena EHR experience preferred

Responsibilities

Serves as the main point of contact with hospitals for the scheduling of patients post discharge and ER diversion.
Uploads hospital records from hospital electronic medical record (EMR) to Athena for new admissions/discharges. Calls and faxes requests for inpatient and post-acute records from facilities when EMR access is limited or not obtainable.
Assists the VBC patients with coordinating new referrals for patients post discharge to ensure the specialist receives the referral, supporting clinical documentation, and authorization. Ensures the patient is given a timely appointment from the specialist and follows up after the appointment to ensure records are uploaded to the patient's Athena chart and placed in review to the Primary Care Provider.
Assists with coordinating start of care with Home Health Agencies as needed.
Interacts with Home Health Care agencies and SNFs for patient status and Discharge plan
Serves as the point of contact for all Value Based Care patients that do not have an assigned care manager.
Assist patients with appointment scheduling with the PCP, specialists, and testing facilities.
Facilitates reminder calls for appointments, labs, and outstanding quality improvement measures.
Interacts in a professional manner with patients, staff, and external customers.
Completes telephonic campaigns for annual wellness visits, health risk assessments, and other prevention campaigns.
Ensures billing is complete for VBC patient care plans.
Athena labeling maintenance: marking the charts of newly attributed VBC/DCE patients. Unmarks the charts of those termed/deceased patients. Maintaining VBC patient lists inside of the population health tool for newly assigned and termed patients.
Completes the deceased and hospice patient workflows.
Schedules new patients "First "appointment and Annual Wellness Visit appointments
Validates patient insurance for VBC patients and updates in Athena
Assess for SDOH within Athena
Educates/offer assistance on state's Medicaid programs
Identifies patients for conversion into VBC Medicare Advantage and/or Medicaid (Duals) plans by using the "Age-in" report by sending birthday cards
Participates in pertinent meetings and workshops as directed.
Interacts with respect and in a professional manner with patients, staff, and external customers
Follows HIPAA and OSHA Standards and guidelines.
Maintains HR compliance and procedures.
Ensures patient satisfaction by providing excellent service putting "patients first always"
Other duties as assigned