Medicaid Patient Advocate

LifeBridge Health; Owings Mills (MD); In loco; USD 26.000 - 46.000; Tempo pieno

Vantaggi offerti da questo lavoro

Medical, dental, and vision coverage

Wellness programs and mental health

403(b) retirement plan with employer/p

Descrizione del lavoro

LifeBridge Health is seeking a Medicaid Patient Advocate to complete Medicaid and Financial Assistance applications for uninsured or underinsured patients across Sinai Hospital and affiliated facilities. You will interview patients, verify coverage, and submit applications accurately to support timely decisions.

This floater/evening/weekend position requires travel between Sinai and Northwest Hospitals, Carroll Hospital and Grace Medical Center as needed, with a 5-day or 4-day workweek option.

Competenze

• Associate's degree preferred.
• Minimum three years of experience with any Medicaid program.
• Certified Application Counselor (CAC) preferred but must obtain within one year of hire. Must have MD driver's license and reliable transportation for travel.

Mansioni

• Completes Medicaid and Financial Assistance applications for uninsured/underinsured patients.
• Interviews patients to determine coverage and eligibility within required timeframes.
• Verifies insurance coverage and updates information on accounts within eligibility period.
• 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 notes and follows up with required actions.
• Follows up with patients to obtain documentation to complete Medicaid applications within 30 days of discharge.

Conoscenze

Medicaid knowledge

Interviews patients

Documentation

Formazione

Associate's degree preferred

Strumenti

Medicaid software

Electronic forms

Descrizione del lavoro

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. Floater/evening and weekend position. The work schedule options are: 5 day/week- 12p-8:30p 4 day/week- 10a-8:30p

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. Must have transportation to travel to other LifeBridge Health locations as needed for coverage. POSITION FLOATS MAINLY BETWEEN SINAI AND NORTHWEST HOSPITALS, COVERAGE AT CARROLL HOSPITAL AND GRACE MEDICAL CENTER AS NEEDED.

Pay Range: $18.67 to $33.17 Based On Experience

• 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.