Patient Care Advocate - Florida

Rely Health•FL, FL

6d•$20 - $24•Remote

About The Position

The Care Advocate guides patients and their families throughout the patient’s care journey by combining human interaction and technological tools to facilitate a seamless experience during the initial intake process through their journey to and from their appointments. The Care Advocate helps reduce worry and frustration for patients, families, and caregivers by increasing communication, coordination, and efficiency across the healthcare and transportation system; performs various activities including, but not limited to: assist patients with completing all medical forms for the clinic through the use of technology; obtain referrals or authorizations; arrange transportation; contact patients prior to appointments as needed to ensure follow-through; document activities of patient advocacy; maintain knowledge of and collaborate with local healthcare-related resources and insurance plans;; and keep patients, their families, and caregivers apprised of care management. The Care Advocate will be instrumental in helping build the technology platform to support the transitions through the patient’s care journey. Acting as a personal patient concierge, strong customer service and communication skills are a must and will include heavy use of phone (inbound and outbound), email, and AI chat. You will be responsible for understanding patient and / or provider requests and connecting the patients to the appropriate resource. Success in this position is based on results-oriented goals and metrics.

Requirements

High school diploma or GED
Experience in healthcare, home health, managed care, behavioral health, population health or care coordination environments
Experience working in high-accountabiity remote operations environments
Ability to maintain a high level of productivity autonomously
Experience working in a call center environment
Knowledge of medical terminology.
Knowledge of Health Insurance Portability and Accountability Act (HIPAA) and Protected Health Information (PHI) rules and practices.
Working knowledge of computer skills using MacOS systems, the internet, Microsoft Word, Excel, Outlook, Google Workspace tools (e.g., Drive, Docs, Sheets, Slides, Calendar, Meet), video conferencing platforms, and other browser-based tools.
Demonstrated strong customer service orientation skills, digital communication (text, email), and telephone etiquette.
Ability to communicate effectively and accurately in both verbal and written forms.
Ability to remain organized and manage competing priorities.
Ability to work within established timeframes as part of a care team or independently.
Ability to develop relationships with patients and care team members.
Ability to respectfully listen to patient and care team without interruption to understand patient needs, expectations, values, and perspectives; ask appropriate questions to ensure understanding; and respond appropriately.
Comfortable working in ambiguity and fast paced environment
Demonstrates operational ownership and proactively identifies workflow issues, barriers and or escalation needs
Ability to use logic and reasoning to approach problems and identify alternative solutions.
Flexible and creative problem solver.
Non-judgmental and energetic.

Nice To Haves

Bilingual communication skills
Familiarity with patient outreach workflows, appointment coordination, referral management or engagement programs
Experience with underserved populations.
Knowledge of Medicare, Medicaid and commercially insured payer common practices and policies
40+ wpm typing proficiency
Experience documenting in electronic health record system or similar
Experience using AI technology, apps, software

Responsibilities

Provide advanced coordination across multiple patient care pathways using AI tech-enabled workflows
Establishes relationships with and serves as primary point of contact for patients and their family or caretaker.
Assists patients requiring support with digital forms and surveys, utilizing AI tools to streamline the process.
Facilitate patient engagement through proactive outreach and digital communication tools.
Clearly communicates the purposes and services available to patients, family members, and caregivers.
Works with the patient to coordinate transportation into or out of a care setting
Maintains frequent contact with client or hospital/clinic leadership to assist with other duties as assigned for participation in client or hospital/clinic initiatives.
Aids in customer service, patient experience by maintaining a non-judgemental, calming presence and relaying feedback or patient issues to appropriate clinical or patient experience staff.
Investigate and resolve patient/provider inquiries and concerns in a timely manner.
Performs duties in compliance with Health Insurance Portability and Accountability Act (HIPAA) and understands the importance of protecting patient information.
Develops expertise in insurance benefits and exclusions related to treatment.
Maintains documentation of all client encounters in appropriate software applications or tools; completes reporting requirements according to program standards.
Enter detailed information into company proprietary software while conversing with patients.
Fully discloses relevant training, experience, and credentials to ensure patients understand the services the Navigator is qualified to provide and refrains from any activity that could be construed as clinical in nature.
Analyze patient data to identify care gaps and initiate outreach based on performance metrics.
Collaborate with AI tools to streamline patient interactions, focusing on higher acuity cases.
Meets key performance indicators including service levels, call volumes, adherence and quality standards.
Attends team meetings regularly with active engagement and collaboration.
Test and utilize new tools or product features.
Provides constructive, comprehensive, honest feedback regarding product and operational enhancements in a timely matter.
Regularly engage with and integrate new technology solutions into the virtual care navigation process to enhance job efficiency and ensure seamless patient experiences.
Remain adaptable and responsive to the continuous evolution of healthcare technology solutions, including software updates, new tools and digital communication platforms.
Participate in regular training sessions and workshops to ensure proficiency in all adopted technology platforms.
Utilize technology platforms to monitor and communicate with patients via education and screening tools, initiate or provide appointment coordination and provide timely reminders.