Patient Advocate

Med-Metrix, LLC; Pemberton Township (NJ); On-site; USD 40,000 - 55,000; Full time

Job summary

A leading healthcare company is seeking a Patient Advocate to assist patients with Medical Assistance Applications. The role involves direct patient interaction, securing necessary documentation, and ensuring eligibility for benefits. Ideal candidates will have a high school diploma, experience in healthcare, and strong communication skills. Bilingual candidates are preferred. This position requires detail-oriented individuals who can multitask and work independently while maintaining professionalism.

Qualifications

• 2 to 3 years’ experience in healthcare preferred.
• Ability to work independently and be detail-oriented.

Responsibilities

• Complete Medical Assistance Applications for patients.
• Follow up with County Assistance Office until determination is made.
• Secure all necessary documents for eligibility.

Skills

Bilingual in Spanish

Communication

Detail-oriented

Investigatory skills

Multitasking

Organization

Written skills

Verbal skills

Education

High school Diploma

College degree in Healthcare

Tools

Microsoft Office Outlook

Job description

Browns Mills, NJ, Browns Mills, New Jersey, United States of America

Job Description

Posted Monday, May 12, 2025 at 4:00 AM

Job Purpose

The Patient Advocate will complete Medical Assistance Applications on patients who may potentially qualify for benefits under the MA Program or other entitlement programs. Obtain all necessary documents required by the County Assistance Office to determine eligibility.

Duties and Responsibilities

• Complete the Medical Assistance Application, screen for disability and complete the hospital charity care form with patient/family member or guardian
• Update computer system daily
• Medical Assistance production reports completed daily
• Submit 1663’s to appropriate physician within 24 hours of completing the application
• Secure all releases, waivers and questionnaires needed
• Leave each patient with a pending document’s check list and follow up daily while patient is still in-house (if applicable).
• All necessary verification should be faxed for within the first 24-48 hours of completing the MA application
• Prepare applications for drop off at County Assistance Office
• Discharge files are to be worked immediately
• Follow up with County Assistance Office until determination has been made.
• Assist with the Marketplace where applicable.
• Report Red Flag and non-cooperative patients to management.
• Use, protect and disclose patients’ protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards

Qualifications

• High school Diploma or equivalent is required, College degree in Healthcare field preferred
• 2 to 3 years’ experience in the field of healthcare preferred
• 2 to 3 years’ patient facing experience preferred
• Bilingual in Spanish (spoken and written skills) a plus
• Ability to work at various client sites as needed
• Ability to effectively communicate with patients one on one
• Ability to work independently and be detail-oriented
• Strong investigatory and researching skills
• Ability to use the internet and learn databases
• Excellent written and verbal skills
• Ability to efficiently multitask
• Possess a high level of organization skills
• Adhere to the policies and protocols of the client while behaving professionally at all times
• Ability to meet monthly productivity goals
• Must be proficient in Microsoft Office Outlook

Working Conditions

• Physical Demands: While performing the duties of this job, the employee is required to move around the work area; light lifting required; Sit; perform manual tasks; operate tools and other office equipment such as computer, computer peripherals and telephones; extend arms; kneel; talk and hear.
• Mental Demands: The employee must be able to follow directions, collaborate with others, and handle stress.
• Work Environment: The noise level in the work environment is usually minimal.

Med-Metrix will not discriminate against any employee or applicant for employment because of race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), parental status, national origin, age, disability, genetic information (including family medical history), political affiliation, military service, veteran status, other non-merit based factors, or any other characteristic protected by federal, state or local law.

Browns Mills, NJ, Browns Mills, New Jersey, United States of America