Patient Advocate Jobs

About The Position

Requirements

• High school diploma or GED equivalent required.
• At least three years of work experience required.
• Competent business acuity and in-depth knowledge of job-related functions, practices, processes, procedures, techniques, and methods.
• Fundamental knowledge of local, state, and federal healthcare benefit services and plans.
• Ability to build and maintain customer-service relationships with healthcare services agencies, patients, providers, and peers.
• Dependability and time consciousness.
• Flexibility, agility, self-direction, and comfort with frequent change and innovation.
• Understanding of member attribution, eligibility, and the disenrollment process.
• Demonstrated customer service and service recovery skills.
• Detail orientation and proficiency in Salesforce.
• Strong written and verbal communication skills.
• Positive attitude and ability to build trust with internal and external partners.
• Proficiency with Microsoft Office Suite, including Word, Excel, PowerPoint, and Outlook, and other word-processing, spreadsheet, database, email, and presentation software.
• Fluency in spoken and written English.

Nice To Haves

• BA/BS degree preferred; additional experience above the minimum may be considered in lieu of the required education on a year-for-year basis.
• Experience working with seniors is a plus.
• A general understanding of Medicare Advantage is a plus.
• Knowledge of and experience working with insurance brokers or agents is preferred.

Responsibilities

• Evaluate patient needs and connect eligible individuals with appropriate health plans and community resources.
• Reach out to disenrolled members to understand barriers to care and facilitate their return to medical centers through personalized outreach and support.
• Work with center leadership, sales teams, brokers, and clinical staff to develop and carry out patient retention strategies.
• Support seamless care transitions and sustained patient engagement to help prevent gaps in care.
• Use EMR, Medals, and Salesforce to gather and store patient information, respond to questions on behalf of patients, and document patient issues and resolutions accurately and promptly.
• Maintain an assigned work queue of patient accounts.
• Complete relevant patient documentation in compliance with regulatory agencies, including HIPAA.
• Perform other duties as assigned or modified at the manager’s discretion.

Benefits

• Great compensation
• Comprehensive benefits
• Career development and advancement opportunities
• Work-life balance
• The position may be eligible for bonuses or commissions.