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Healthcare Navigator

2 months ago

Coal Twp, United States Med-Metrix Full time
Job Summary

Med-Metrix is seeking a highly skilled Patient Advocate to join our team. As a Patient Advocate, you will play a critical role in ensuring that patients receive the medical assistance they need to access essential healthcare services.

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.
Requirements
  • 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.