Patient Benefits Advocate

Tohono O'odham Nation Healthcare; Sells (AZ); On-site; USD 52,000 - 70,000; Full time

Job summary

Tohono O'odham Nation Healthcare seeks a benefit navigator to assist families in applying for alternate resources and explain eligibility rules. The role involves advocating for patients, screening for resources, and coordinating with SSA and tribal agencies.

Responsibilities include interviewing patients, guiding applications, and following up on claims to ensure timely, non-discriminatory access to benefits across TONHC facilities.

Qualifications

• Bachelor's Degree in Public/Business Administration or closely related fields with three years' work experience in administering benefit plans or equivalent.
• Criminal background and FBI fingerprint checks required; may require valid driver's license and driving record.
• Fluency in Tohono O'odham language and English may be required depending on department needs.

Responsibilities

• Provides leadership and advocates for patients in utilizing alternate resources (Medicare, Medicaid, DVA, AFDC, etc.).
• Identifies eligible persons by screening and interviewing patients or families.
• Collaborates with staff to locate and use alternate resources for TONHC population.
• Advises and assists with applications for alternate resources and related rules.
• Interviews patients to determine eligibility for Medicare/Medicaid benefits.
• Coordinates with SSA, Local County and Tribal agencies to establish eligibility.
• Follows up on pending eligibility claims and ensures non-discrimination.

Education

Bachelor's Degree in Public/Business Administration or closely related fields

Job description

Tohono O'odham Nation Healthcare seeks a benefit navigator to assist families in applying for alternate resources and explain eligibility rules. The role involves advocating for patients, screening for resources, and coordinating with SSA and tribal agencies.

Responsibilities include interviewing patients, guiding applications, and following up on claims to ensure timely, non-discriminatory access to benefits across TONHC facilities.