Patient Continuity and Needs Advocate

ChenMed; Atlanta (GA); On-site; USD 23,419 - 33,420; Full time

Job summary

ChenMed is seeking a Patient Continuity and Needs Advocate in Atlanta, Georgia. This role involves supporting eligible patients and their families in accessing Medicaid and Federal resources while ensuring compliance with relevant regulations.

The ideal candidate will have strong customer service skills, a background in healthcare benefits, and at least three years of relevant experience. A flexible, detail-oriented individual fluent in English is preferred for this crucial role.

Qualifications

• 3+ years of work experience required, preferably with seniors.
• Fluent in spoken and written English.
• Understanding of Medicaid and Medicare Advantage is preferred.

Responsibilities

• Support Medicaid enrollment and follow-up procedures.
• Identify opportunities for patients to maximize medical benefits.
• Utilize an EMR system for patient information management.

Skills

Customer service skills

Detail-oriented

Communication skills

Proficiency in Microsoft Office

Knowledge of healthcare benefit services

Salesforce proficiency

Education

High School diploma or GED

BA/BS degree

Job description

Overview

We’re changing lives every day. For both our patients and our team members.

The Patient Continuity and Needs Advocate (PCNA) is responsible for supporting eligible patients and their families receive Medicaid and Federal resources that are adherent to State and Federal Policies.

ESSENTIAL JOB DUTIES/RESPONSIBILITIES

• Supports Medicaid enrollment; collects demographic documentation and financial data and initiates follow-up procedures when necessary.
• Identifies and shares, with patient and/or family member(s), opportunities to maximize medical benefits and, when necessary, arranges follow-up appointments to ensure appropriate guidance to health services and application timelines.
• Utilizes an Electronic Medical Records (EMR) system to gather and store patient information, respond to questions on behalf of the patient and appropriately and timely document patient issues and resolutions. Maintains assigned work queue of patient accounts.
• Completes relevant patient documentation in compliance with all regulatory agencies, including HIPAA.
• Performs other duties as assigned and modified at manager’s discretion.

KNOWLEDGE, SKILLS AND ABILITIES

• Fundamental knowledge and understanding of local, state and federal healthcare benefit services and plans
• Ability to build and maintain exceptional customer service relationships with healthcare services agencies, patients, providers and peers
• Dependable and time conscious
• Flexibility, agility, self-starter, comfortable with frequent changes and innovations
• Competent level business acuity
• In-depth knowledge and understanding of general/core job-related functions, practices, processes, procedures, techniques and methods
• Understanding of member attribution, eligibility and the disenrollment process
• Demonstrated skill in customer service and service recovery
• Knowledge of and experience in working with insurance brokers or agents preferred
• Detail-oriented with proficiency in Salesforce
• Strong written and verbal communication skills
• Positive attitude and the ability to build trust with internal and external partners
• Proficient in Microsoft Office Suite products including Word, Excel, PowerPoint and Outlook, plus a variety of other word-processing, spreadsheet, database, e-mail and presentation software
• Spoken and written fluency in English

EDUCATION AND EXPERIENCE CRITERIA

• High School diploma or GED equivalent required;
• BA/BS degree preferred OR additional experience above the minimum may be considered in lieu of the required education on a year-for-year basis.
• A minimum of three (3) years’ work experience required; working with seniors a plus as is a general understanding of Medicare Advantage

PAY RANGE

$17.0 - $24.26 Hourly

The posted pay range represents the base hourly rate or base annual full-time salary for this position. Final compensation will depend on a variety of factors including but not limited to experience, education, geographic location, and other relevant factors. This position may also be eligible for bonuses or commissions.

EMPLOYEE BENEFITS

Employees enjoy great compensation, comprehensive benefits, career development and advancement opportunities and opportunities to grow.