Patient Advocacy Specialist

3 weeks ago

Franklin, United States Prime Health Services Full time
Job DescriptionJob Description
Description:


***NOT A REMOTE POSITION***


The Patient Advocacy Specialist works collaboratively with Prime Health Services' Clients and referred Patients to ensure the timely scheduling of Patients' appointments consistent with their requests and defined treatment plan.


Essential Job Functions of a Patient Advocacy Specialist

  • Schedules medical appointments in the PHS scheduling tool as requested and directed by PHS Clients and the referred patients in a timely manner
  • Updates case status in the PHS scheduling tool with accurate and current information
  • Updates Client regarding status (balance of dollars allotted to each case) when patient expenses are nearing the maximum allotment to receive direction as to next steps, i.e. increase allotted dollar amount assigned to the case or close the case
  • Refers out-of-network providers to the Provider Negotiation Specialist to obtain a single case agreement and to the Provider Contracting team to contract the provider to the PHS network
  • Service non-English speaking patients/Clients by using the contracted language services company and/or other bi-lingual Patient Advocacy Specialist team members as available
Requirements:

Education Required for a Patient Advocacy Specialist

  • High School Diploma or equivalent (GED) and 2 years of experience working in a healthcare, insurance, claims processing, and/or medical billing/pricing setting.
  • Certification from a recognized Medical Assistant training program is preferred


Patient Advocacy Experience and Skills

  • Prior patient scheduling, billing, and insurance verification experience is preferred
  • Demonstrated proficiency in Microsoft Office – Excel, PowerPoint, Word, MS Teams)
  • Bi-lingual in English and Spanish is preferred based on business needs


Patient Advocacy Specialist Competencies

  • Detail focused and the ability to multi-task and adhere to established goals
  • Ability to work in a fast paced, changing environment; flexible to meet business needs
  • Results driven team player
  • Ability to maintain confidential information as required
  • Excellent communication skills (oral and written)
  • Superb organizational, problem solving, and time management skills
  • Ability to maintain a calm and professional demeanor in stressful situation

Benefits

  • Medical Insurance (high deductible plan with an HSA)
  • Dental Insurance
  • Vision Insurance
  • Short-term and long-term disability paid by the company
  • Group term life paid by the company
  • PTO - 160 hours (4 weeks) with the ability to roll over 40 hours and cash out 40 hours at the end of the year
  • Fitbit program with monetary rewards
  • Employee recognition programs with monetary rewards
  • Corporate office amenities - specialty coffee machines, assorted tea options, smoothie bar, collaborative workspaces, fruit provide by company and an onsite market
  • Regular employee events such as potlucks, video game tournaments, door decorating contests, Mental Health Awareness Month activities, and a company carnival just to name a few of our past events


About Us

Prime Health Services (PHS) is a national medical cost containment company with a noteworthy PPO Network used by insurance carriers, TPA's, self-insureds, and governmental entities. Our tech-focused nature allows clients to take advantage of the flexibility of customization while not compromising on bill processing speed. Since 2001, we have specialized in medical provider network development and offer clients a tailored approach to medical cost containment: quality health care at discounted rates.



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