Hybrid Health Coverage Advocate – Enrollment & Access

Insidepfa

New York (NY)

Hybrid

USD 52,000 - 78,000

Full time

3 days ago
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Benefits offered by this job

Incentive bonus plan
Medical, dental & vision coverage
401(k) with company match
FSA
Employee Assistance Program
Wellness benefit

Job summary

Patient Funding Alternatives (PFA) seeks a Patient Advocate Specialist for a full-time hybrid role at New York Presbyterian/Columbia University Irving Medical Center. You will educate eligible hospital patients about the Health Insurance Premium Payment program and help enroll them into employer-sponsored coverage alongside Medicaid.

You’ll manage referrals, collect necessary documentation, and coordinate with hospital staff while maintaining HIPAA standards.

Qualifications

  • High school diploma or GED required.
  • Full bilingual proficiency in Spanish required.
  • 2+ years in a patient- or customer-facing role with activity/outcome measurement.
  • Independent work on-site with limited supervision.
  • CRM or case management system experience; comfortable with iPad/iPhone.
  • Ability to pass hospital credentialing and screenings.

Responsibilities

  • Engage and advocate for patients and families from hospital referrals.
  • Explain HIPP and enrollment options clearly and compassionately.
  • Address hesitation and objections while avoiding pressure on families.
  • Gather documentation to move applications forward and maintain professional boundaries.
  • Own caseload from first contact to enrollment and hand off to relevant teams.
  • Manage referrals and patient records in the CRM, upload and transmit documentation securely.
  • Represent PFA on-site as the primary hospital contact and build relationships with staff.
  • Operate in a metrics-driven environment with weekly/monthly targets and reporting.

Skills

Bilingual Spanish
Patient-facing experience
Empathy
Attention to detail
Adaptability

Education

High school diploma or GED
Associate's or Bachelor's in Social Work/Healthcare Admin/Public Health

Tools

CRM system
iPad/iPhone

Job description

Patient Funding Alternatives (PFA) seeks a Patient Advocate Specialist for a full-time hybrid role at New York Presbyterian/Columbia University Irving Medical Center. You will educate eligible hospital patients about the Health Insurance Premium Payment program and help enroll them into employer-sponsored coverage alongside Medicaid.

You’ll manage referrals, collect necessary documentation, and coordinate with hospital staff while maintaining HIPAA standards.

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