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Patient Advocate

1 month ago

Philadelphia, Pennsylvania, United States Med-Metrix Full time
Job Summary

The Patient Advocate will play a critical role in ensuring that patients receive the medical assistance they need. This includes completing Medical Assistance Applications, screening for disability, and obtaining necessary documents to determine eligibility.

Key Responsibilities
  • Complete Medical Assistance Applications and screen for disability
  • Obtain all necessary documents required by the County Assistance Office
  • Update computer system daily and complete Medical Assistance production reports
  • Take 1663's to appropriate physicians within 24 hours of completing the application
  • 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)
  • Fax all necessary verification within the first 24-48 hours of completing the MA application
  • Prepare applications for drop off at the County Assistance Office
  • Work discharge files immediately and follow up with the County Assistance Office until 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
  • Must be bi-lingual Spanish/English (spoken and written)
  • 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
Working Conditions
  • Physical Demands: While performing the duties of this job, the employee is required to move around the work area; light lifting required; Sit; perform manual tasks; operate tools and other office equipment such as computer, computer peripherals, and telephones; extend arms; kneel; talk and hear
  • Mental Demands: The employee must be able to follow directions, collaborate with others, and handle stress
  • Work Environment: The noise level in the work environment is usually minimal