Patient Continuity and Needs Advocate

Patient Continuity And Needs Advocate

We're unique. You should be, too.

We're changing lives every day. For both our patients and our team members. Are you innovative and entrepreneurial minded? Is your work ethic and ambition off the charts? Do you inspire others with your kindness and joy?

We're different than most primary care providers. We're rapidly expanding and we need great people to join our team.

The Patient Continuity and Needs Advocate (PCNA) is responsible for supporting eligible patients and their families receive Medicaid and Federal resources that are adherent to State and Federal Policies.

ESSENTIAL JOB DUTIES/RESPONSIBILITIES:

• Supports Medicaid enrollment; collects demographic documentation and financial data and initiates follow-up procedures when necessary.
• Identifies and shares, with patient and/or family member(s), opportunities to maximize medical benefits and, when necessary, arranges follow-up appointments to ensure appropriate guidance to health services and application timelines.
• Utilizes an Electronic Medical Records (EMR) system to gather and store patient information, respond to questions on behalf of the patient and appropriately and timely document patient issues and resolutions. Maintains assigned work queue of patient accounts.
• Completes relevant patient documentation in compliance with all regulatory agencies, including HIPAA.
• Performs other duties as assigned and modified at manager's discretion.

KNOWLEDGE, SKILLS AND ABILITIES:

• Fundamental knowledge and understanding of local, state and federal healthcare benefit services and plans
• Ability to build and maintain exceptional customer service relationships with healthcare services agencies, patients, providers and peers
• Dependable and time conscience
• Flexibility, agility, self-starter, comfortable with frequent changes and innovations
• Competent level business acuity
• In-depth knowledge and understanding of general/core job-related functions, practices, processes, procedures, techniques and methods
• Understanding of member attribution, eligibility and the disenrollment process
• Demonstrated skill in customer service and service recovery
• Knowledge of and experience in working with insurance brokers or agents preferred
• Detail-oriented with proficiency in Salesforce
• Strong written and verbal communication skills
• Positive attitude and the ability to build trust with internal and external partners
• Proficient in Microsoft Office Suite products including Word, Excel, PowerPoint and Outlook, plus a variety of other word-processing, spreadsheet, database, e-mail and presentation software
• Spoken and written fluency in English

EDUCATION AND EXPERIENCE CRITERIA:

• High School diploma or GED equivalent required;
• BA/BS degree preferred OR additional experience above the minimum may be considered in lieu of the required education on a year-for-year basis.
• A minimum of three (3) years' work experience required; working with seniors a plus as is a general understanding of Medicare Advantage

PAY RANGE:

$17.0 - $24.26 Hourly

The posted pay range represents the base hourly rate or base annual full-time salary for this position. Final compensation will depend on a variety of factors including but not limited to experience, education, geographic location, and other relevant factors. This position may also be eligible for a bonuses or commissions.

EMPLOYEE BENEFITS

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