Patient Advocate

Med--metrix; Tarpon Springs (FL); On-site; USD 36,000 - 54,000; Full time

Job summary

Med-Metrix is seeking a Patient Advocate to help uninsured and underinsured patients access financial assistance via state, hospital, and federal programs. You will complete applications, gather documents, and coordinate with government agencies to ensure patients receive needed support.

This on-site role requires strong communication, attention to detail, and the ability to work at multiple client sites. You will also maintain records, verify insurances, and comply with HIPAA policies.

Qualifications

• High school Diploma or equivalent; healthcare-related degree preferred.
• 2-3 years of experience in customer service.
• Bilingual in Spanish (spoken and written) a plus.
• Ability to work at various client sites as needed.
• Must possess reliable transportation to ensure consistent on-site attendance and punctuality.
• Ability to use the internet and learn databases.
• Ability to meet monthly productivity goals.
• Proficiency in Microsoft Office Suite.
• Strong interpersonal skills, ability to communicate well at all levels of the organization.
• Strong problem solving and investigative skills and the ability to exercise sound judgment and make decisions based on accurate and timely analyses.
• High level of integrity and dependability with a strong sense of urgency and results oriented.
• Excellent written and verbal communication skills required.

Responsibilities

• Assist patients with applications for Medical Assistance (MA), hospital charity care, and SSI/SSDI.
• Interview patients at the bedside and in the Emergency Room to assess eligibility and gather information.
• Identify eligibility and collect required documentation.
• Submit and track applications with the local assistance offices.
• Provide support for Marketplace insurance when applicable.
• Maintain accurate records and meet productivity goals.
• Verify and update insurances.
• Other duties as assigned.
• Use, protect and disclose patients’ protected health information (PHI) only in accordance with HIPAA standards.
• Understand and comply with Information Security and HIPAA policies and procedures at all times.
• Limit viewing of PHI to the absolute minimum as necessary to perform assigned duties.

Skills

Customer service

Spanish bilingual

Interpersonal skills

Written and verbal communication

Mobility to client sites

Internet & databases literacy

Education

High school Diploma or equivalent

Tools

Microsoft Office Suite

Job description

Schedule: Monday through Friday, 8:30AM-5:00PM with 1 required Sunday per month

Job Purpose

ThePatient Advocatesupports uninsured and underinsured patients by helping them access financial assistance throughstate programs,hospital assistance programs, andfederal benefitssuch asSSI/SSDI. The role involves completing applications, gathering documentation, and coordinating with government agencies to ensure patients receive the support they need.

Duties and Responsibilities

• Assist patients with applications forMedical Assistance (MA),hospital charity care, andSSI/SSDI
• Interview patients at the bedsideand in theEmergency Room to assess eligibility and gather information
• Identify eligibility and collect required documentation
• Submit and track applications with the local assistance offices
• Provide support for Marketplace insurance when applicable
• Maintain accurate records and meet productivity goals
• Verify and update insurances
• Other duties as assigned
• Use, protect and disclose patients’ protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards
• Understand and comply with Information Security and HIPAA policies and procedures at all times
• Limit viewing of PHI to the absolute minimum as necessary to perform assigned duties

Qualifications

• High school Diploma or equivalent is required, healthcare-related degree preferred
• 2-3 years of experience in a customer service preferred
• Bilingual in Spanish (spoken and written skills) a plus
• Ability to work at various client sites as needed
• Must possess reliable transportation to ensure consistent on-site attendance and punctuality
• Ability to use the internet and learn databases
• Ability to meet monthly productivity goals
• Proficiency in Microsoft Office Suite
• Strong interpersonal skills, ability to communicate well at all levels of the organization
• Strong problem solving and investigative skills and the ability to exercise sound judgment and make decisions based on accurate and timely analyses
• High level of integrity and dependability with a strong sense of urgency and results oriented
• Excellent written and verbal communication skills required

Working Conditions

• Must possess a smart-phone or electronic device capable of downloading applications, for multifactor authentication and security purposes.
• 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.