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Healthcare Advocate
2 months ago
Med-Metrix is seeking a skilled Healthcare Advocate to join our team. As a key member of our staff, you will play a critical role in ensuring that patients receive the medical assistance they need.
Key Responsibilities- Complete Medical Assistance Applications for patients who may be eligible for benefits under the MA Program or other entitlement programs.
- Obtain all necessary documents required by the County Assistance Office to determine eligibility.
- Screen for disability and complete the hospital charity care form with patient/family member or guardian.
- Update computer system daily with Medical Assistance production reports.
- Secure all releases, waivers, and questionnaires needed.
- Leave each patient with a pending document's check list and follow up daily while the patient is still in-house (if applicable).
- All necessary verification should be faxed for within the first 24-48 hours of completing the MA application.
- Prepare applications for drop off at the County Assistance Office.
- Discharge files are to be worked immediately.
- Follow up with the County Assistance Office until a determination has been made.
- Assist with the Marketplace where applicable.
- Report Red Flag and non-cooperative patients to management.
- Use, protect, and disclose patients' protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards.
- Ability to work at various client sites as needed.
- High school Diploma or equivalent is required.
- College degree in Healthcare field preferred.
- 2 to 3 years' experience in the field of healthcare preferred.
- 2 to 3 years' patient-facing experience preferred.
- Ability to effectively communicate with patients one on one.
- Ability to work independently and be detail-oriented.
- Strong investigatory and researching skills.
- Ability to use the internet and learn databases.
- Excellent written and verbal skills.
- Ability to efficiently multitask.
- Possess a high level of organization skills.
- Adhere to the policies and protocols of the client while behaving professionally at all times.
- Ability to meet monthly productivity goals.
- Must be proficient in Microsoft Office Outlook.
- Bilingual in Spanish (spoken and written skills) a plus.