Medicaid Patient Advocate

LifeBridge Health; Owings Mills (MD); Presencial; USD 26.000 - 46.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Medical, dental, and vision coverage

403(b) retirement plan with employer

Tuition reimbursement

Generous paid time off

Fitness discounts

Free on-site parking

Descripción de la vacante

LifeBridge Health is seeking a Medicaid Patient Advocate to help uninsured and underinsured patients apply for Maryland Medicaid and other programs. You will determine eligibility, complete electronic and paper applications, and coordinate with medical staff to ensure timely processing.

You will interview patients, verify coverage, update records, and track required documentation within required timeframes. Strong communication and attention to detail are essential.

Formación

• Associate's degree preferred.
• Minimum three years of experience with any Medicaid program.
• CAC preferred but must obtain within one year of hire.

Responsabilidades

• Completes Medicaid and Financial Assistance applications for uninsured/underinsured patients.
• Interviews patients to determine insurance coverage and eligibility.
• Verifies insurance coverage and updates information on accounts.
• Uses software to complete and submit Medicaid applications electronically.
• Completes and submits paper Medicaid applications when appropriate.
• Updates systems with notes and sets follow-up dates within timeframes.

Conocimientos

Medicaid experience

Interviewing/communication

Customer service

Educación

Associate's degree

Certified Application Counselor (CAC)

Descripción del empleo

About the Role:

The Medicaid Patient Advocate will complete Medical Assistance Applications on uninsured and underinsured patients who may qualify for benefits under the Maryland Medicaid Program or other entitlement programs and will complete forms to determine Financial Assistance eligibility under LifeBridge Health policy.

KEY RESPONSIBILITIES:

• Completes Medicaid and Financial Assistance applications for uninsured/underinsured patients.
• Interviews patients to determine if covered by insurance not identified at registration on date of service or within 24 hours of inpatient admission.
• Verifies insurance coverage and updates insurance information on all accounts within eligibility period on date of service or within 24 hours of inpatient admission.
• Interviews uninsured/underinsured patients to determine Medicaid and Financial Assistance eligibility.
• Utilizes software to complete and submit Medicaid applications electronically.
• Completes and submits paper Medicaid applications when appropriate.
• Updates system(s) with notes pertaining to actions taken/actions required
• Sets appropriate next activity/follow-up dates within prescribed timeframes.
• Follows up with patients to obtain and submit required documentation to complete Medicaid application within 30 days of discharge.
• Monitors billing of converted accounts and escalated claims not billed.
• Makes appropriate referrals of incomplete applications at 30 days to secondary agencies.
• Monitors Medicaid Applications.
• Monitors submitted applications and takes appropriate action to resolve/finalize.
• Contacts Maryland Department of Health (MDH) State Caseworkers to ascertain status of applications and resolve outstanding documentation requests.
• Checks applicant eligibility on-line.
• Escalates cases that are not final dispositioned within prescribed timeframes.
• Takes necessary steps to update accounts with final Medicaid disposition.
• Documents all relevant action taken to resolve the account.
• Updates applicable insurance information. Updates True Self Pay to accounts determined not eligible.
• Ensures timely billing of accounts.

REQUIREMENTS:

Education: Associate's degree preferred.

Experience: Minimum three years of experience with any medicaid program.

Licenses/Certification: Certified Application Counselor (CAC) preferred but must obtain within one year of hire. Must have full MD driver's license and reliable transportation to travel to other LifeBridge Health facilities. Position located at Carroll Hospital with coverage at other facilities as needed.

Pay Range:

$18.67 to $33.17 Based On Experience

Benefits:

• Medical, dental, and vision coverage starting the first of the month after hire, plus wellness programs and mental health support
• 403(b) retirement plan with employer match, pension, and life and disability insurance
• Tuition reimbursement toward advanced degrees and specialty certifications
• Generous paid time off, fitness discounts, and free on-site parking

About Sinai Hospital

Sinai Hospital of Baltimore is a nationally recognized academic medical center, a designated Level II Trauma Center, and the largest community hospital in Maryland. As part of LifeBridge Health - one of the region's most comprehensive healthcare systems - Sinai delivers advanced care with a mission to improve the health of the communities we serve, and to take care of the people who take care of patients.

About LifeBridge Health

LifeBridge Health is a dynamic, purpose-driven health system redefining care delivery across the mid-Atlantic and beyond, anchored by our mission to "improve the health of people in the communities we serve." Join us to advance health access, elevate patient experiences, and contribute to a system that values bold ideas and community-centered care.

With over 14,000 employees, 130 care locations, and two million annual patient encounters, we combine strategic growth, innovation, and deep community commitment to deliver exceptional care anchored by five leading centers in Maryland.

Our organization thrives on a culture of CARE BRAVELY-where compassion, courage, and urgency drive every decision, empowering teams to shape the future of healthcare.

LifeBridge Health complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex or sexual orientation and gender identity/expression. LifeBridge Health does not exclude people or treat them differently because of race, color, national origin, age, disability, sex or sexual orientation and gender identity/expression.