On-Site Patient Advocate

Job Description

Description:

Responsible for building working relationships, solving problems and supporting patients while they learn the coverage options on both a federal and state level. An On-Site Patient Advocate exhibits superior customer service skills and provides prompt courteous service to patients. They work as part of a team in a Hospital environment and also on an independent level. The On-Site Patient Advocate must ensure that methodologies, policies and procedures are deployed to guarantee the highest quality standards with “patient first ideology” as a goal.

Supervisor

The WellFund Onsite Manager

Department

The WellFund On-Site Team

Essential Duties of the Position

Handles a high volume of face-to-face interactions with patients

Communicate clearly, timely, and positively with patients

Good communication skills and interpersonal skills

Ability to learn quickly and navigate effectively through multiple systems

Professional attitude, and able to maintain composure in urgent or confrontational situations

Effective critical thinking, problem solving and decision-making skills

Display strong organization/time management skills

Work independently and must be multi-task oriented

Team player attitude

Collects and reviews patient information to determine patient’s eligibility

Prepares documents and reviews them for accuracy and completeness

Maintains and/or creates files or record keeping systems. Sorts, labels files and retrieves documents or other materials

Completes various insurance application after determining patient’s eligibility

Provides account follow up on a routine basis

Ensures adequate documentation is maintained

Develops and retains professional relationship with hospital staff

Maintains confidentiality at all times (i.e. PHI and HIPAA)

Any other duties as assigned by management

Responsibilities of the Position

Exemplifies the Mission/Vision/Core Values of The WellFund in all personal and professional behavior and is a role model to all associates

Collaborates with manager to identify own learning needs and set goals using available resources to meet these needs/goals

Maintains working knowledge of departmental/hospital policies and procedures through participation and by reading updates and other provided communication

Works in collaboration with other departmental associates, as well as other hospital associates supporting their efforts through teamwork and the acceptance of additional assignmentsRequirements:

Computer proficiency skills are required

Ability to learn multiple databases

Ability to multi-task (speaking on the phone and typing)

Excellent verbal and written communication skills

Ability to work in fast-paced, changing environment

High school diploma or equivalency

One year of experience as a Patient Advocate or an equivalency of training and experience combined

Considerable knowledge of Medicaid programs

Considerable knowledge of the Federal Marketplace

General knowledge of all agency and provider programs and services which could affect the client/applicant

Good mathematical reasoning and computational skills

Ability to read, analyze, and interpret rules, regulations and procedures

Ability to communicate with clients/applicants, the public at large, and public officials to obtain data, and to explain and interpret rules, regulations and procedures

Ability to work with others on your team to complete a task

Ability to perform job functions within structured time frames

Must have the ability to perform repeated tasks with a high level of accuracy

Must have working knowledge of HIPAA and Red Rule regulations

Difficulty of Work

Work activities are performed independently, utilizing basic guidelines as standards of performance. The incumbent must deal with a variety of reports, documents, and computer systems, and must utilize good judgment in carrying out job duties. Advice and guidance may be sought from the department’s Manager as warranted to ensure the provision of quality service.

Responsibility

The incumbent works in a team concept, but works independently on his/her own. Work is somewhat independent in nature. The incumbent makes a substantial impact on the patient.

Personal Work Relationships

The incumbent must deal with a variety of staff levels, conditions and circumstances. Routine contacts are to be expected from incoming calls, patients, management, and associates, internal and affiliate company associates.

Full-time