Patient Financial Advocate - CO

Spring Grove Recovery; Colorado Springs (CO); Sur place; USD 36 000 - 41 000; Plein temps

Résumé du poste

Alsos Behavioral Health is seeking a Medicaid Enrollment Coordinator to secure and maintain patient coverage across two Colorado facilities. You will work directly with patients and authorized representatives to complete enrollment work and ensure timely outcomes, with on-site presence at Sheridan Grove and Spring Grove.

The role requires coordinating with Revenue Cycle and Admissions, handling verified coverage, and explaining benefits and payment options in clear terms.

Qualifications

• Experience helping patients complete Medicaid enrollment is required.
• High school diploma or equivalent.
• Ability to meet the onsite schedule and travel between Colorado worksites.
• Experience using electronic records, portals and standard office software.

Responsabilités

• Reconcile patient census and verified coverage with Admissions and UR.
• Explain enrollment or renewal pathways and obtain required documents.
• Submit Medicaid enrollment, renewal or restoration applications with proof of receipt.
• Track case status, deadlines and next steps, following up with patients and agencies.
• Provide clear handoffs with coverage evidence and unresolved issues.

Connaissances

Medicaid enrollment

Customer service

Healthcare coordination

Onsite operations

Formation

High school diploma or equivalent

Outils

Electronic records systems

Online application portals

Office software

Description du poste

EOE Statement We are an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status or any other characteristic protected by law.

Description

1. Field Summary

Department / reporting: Revenue Cycle; reports to Revenue Cycle leadership.

Work location: Sheridan Grove and Spring Grove, Colorado

Schedule: Full time; Monday–Friday, 8:30 a.m.–5:00 p.m.; 30-minute unpaid, duty-free lunch; 40 paid hours per week.

Classification: Hourly; FLSA non-exempt. Record all hours worked.

Compensation: $26–$30 per hour

2. About Alsos Behavioral Health

Alsos Behavioral Health is a multi-state addiction-treatment company focused on Medicaid and safety-net substance use disorder care. The company is building a scalable residential addiction-treatment platform where patient access, strong census, admissions speed, documentation discipline, and operational execution all matter.

3. About the Role

Secure and maintain verified patient coverage across two Colorado facilities, with clear ownership of every unresolved coverage case.

You will work directly with patients and authorized representatives, help complete Medicaid enrollment work, and follow unresolved cases through verified outcomes and clear handoffs to the revenue cycle team.

4. What This Role Owns

• Reconcile the current patient census, verified coverage and existing coverage-case record with Admissions and UR; identify uninsured patients, interrupted coverage and cases requiring renewal or other assistance.
• Screen the patient’s circumstances; explain the appropriate application or renewal pathway; obtain required information and supporting documents through approved, authorized channels.
• Complete accurate Medicaid enrollment, renewal or restoration submissions and retain proof of receipt. Follow the approved state playbook and current internal turnaround deadlines.
• Track each case’s status, outstanding requirements, agency deadlines and next action. Follow up with patients, authorized representatives and agencies until a verified outcome or documented escalation is reached.
• Verify the eligibility outcome, coverage effective dates and relevant payer information. Record evidence in the designated systems; distinguish submission, active coverage, authorization and payment.
• Give UR and RCM a documented handoff containing coverage evidence, dates, unresolved issues and the next responsible party. Follow up when the handoff is incomplete or an enrollment issue continues to block account resolution.
• Explain benefits, estimated patient responsibility, financial assistance and approved payment options in language the patient can understand. Resolve questions with billing staff without promising coverage or changing approved financial terms.
• Protect patient and financial information, use approved systems, and elevate material barriers promptly to Revenue Cycle leadership. Use approved tools to reduce repetitive work while verifying the underlying evidence.
• Work onsite at DEN and PCOS for at least two days per week at each facility. Revenue Cycle leadership assigns the remaining day and the weekly site schedule. Both facilities are regular worksites; this is not a remote position.
• Ordinary home-to-work commuting to either regular Colorado worksite is not reimbursed. Required travel between worksites during the workday must be recorded as paid time; business expenses follow applicable law and company policy.

5. What Success Looks Like

• Patients who need coverage help are identified and understand their next steps.
• Applications are accurate, deadlines are managed, and coverage outcomes are verified.
• The receiving team has the evidence needed to act; unresolved cases have a clear next step.

6. Required Qualifications

• Prior hands-on experience helping patients or applicants complete Medicaid enrollment is required for every new hire. General customer service, provider credentialing or billing experience alone is not an equivalent.
• High school diploma or equivalent.
• Ability to meet the onsite schedule and assigned work location requirements.
• Ability to use electronic records, application portals and standard office software.

7. Preferred Qualifications

• Direct Medicaid enrollment work in the hiring state and patient-facing healthcare, particularly substance use treatment.
• Demonstrated ability to explain coverage and financial terms in another language relevant to the served population.

8. Who Will Thrive

You follow through after paperwork is submitted, explain difficult information clearly, and notice when a missing document or unclear handoff could leave a patient without coverage. You can work independently while escalating decisions outside your authority.

9. Not a Fit If

This role will not suit someone who wants remote work, has no hands-on Medicaid enrollment experience, or prefers to hand off unresolved cases without verifying what happens next.

11. Equal Employment Opportunity

Alsos Behavioral Health provides equal employment opportunity and considers applicants based on job-related qualifications. Reasonable accommodations are available in the application and employment process as required by applicable law.