Patient Advocacy Respresentative
Crossroads Treatment Centers is an equal opportunity employer.
We celebrate diversity and are committed to creating an inclusive environment for all employees.
Job Description:
The Patient Advocacy Representative plays a vital role in assisting individuals with understanding and enrolling in Medicaid, a government healthcare program.
Primary responsibilities will be to guide and support individuals through the application and renewal process, assisting if individuals lose coverage and complete the necessary paperwork accurately and on time.
By leveraging knowledge of Medicaid policies and regulations, the Patient Advocacy Representative helps individuals access the healthcare coverage they need.
Essential Duties and Responsibilities include the following and other duties that are assigned.
Application Assistance:
Assist individuals in completing Medicaid applications and renewals accurately and efficiently.
Explain the required documentation, deadlines, and procedures to ensure compliance with Medicaid guidelines.
Loss of Medicaid Assistance:
If individuals lose their Medicaid coverage with the State, assist those individuals with the appropriate next steps.
Information Provision:
Connect individuals with Medicaid program resources and materials.
Referrals and Resources:
Connect individuals with additional resources and support services, such as community organizations or healthcare providers, to help them access necessary healthcare and social services beyond Medicaid coverage.
Application Follow-up:
Monitor the progress of Medicaid applications, ensuring they are processed timely and accurately.
Communicate with individuals regarding any missing documentation or additional information required to facilitate the application's approval.
Compliance Adherence:
Stay updated with Medicaid policies, procedures, and eligibility criteria to ensure accurate guidance and compliance with program regulations.
Maintain confidentiality and handle sensitive information with utmost care.
Collaborative Support:
Coordinate with other healthcare professionals, enrollment specialists, or social workers to streamline the application process and address any complex cases or challenges faced by individuals.
Documentation and Reporting:
Maintain accurate and detailed records of all interactions and outcomes, documenting application statuses, trends, and challenges faced by applicants.
Generate reports as required to track performance and identify areas for improvement.
Qualification Requirements:
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily.
The requirements listed below are representative of the knowledge, skill, and/or ability required.
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Position requires constant mental alertness, attention to detail, and high degree of accuracy required in completing all assignments.
Strong problem-solving skills.
Smart, driven, exceptional work ethic.
Must be able to follow oral and written instructions and follow -through on all assignments.
Excellent organizational skills.
Highly detailed-oriented.
Ability to work well in a group setting and independently.
Experience working in a customer service-oriented role, preferably in a healthcare or social services setting.
Familiarity with Medicaid programs, policies, and eligibility criteria.
Excellent verbal and written communication skills, with the ability to explain complex information in a clear and concise manner.
Empathy, patience, and active listening skills when interacting with individuals seeking Medicaid assistance.
Strong attention to detail and organizational abilities to ensure accurate and timely completion of applications.
Proficiency in using computer systems, databases, and online application portals.
Ability to work effectively in a fast-paced environment and handle multiple tasks simultaneously.
Education and/or
Experience:
High school diploma or equivalent Additional education or certification in healthcare administration or a related field is a plus.
Language Skills:
Ability to read, analyze, and interpret human service periodicals, professional journals, technical procedures, or governmental regulations.
Ability to write reports, business correspondence, and procedure manuals.
Ability to effectively present information and respond to questions from groups of managers, clients, customers, and the general public.
Excellent communication and interpersonal skills.
Mathematical Skills:
Ability to calculate figures and amounts such as percentages, mean, mode and median ability to draw and interpret graphs.
Reasoning Ability:
Ability to define problems, collect data, establish facts, and draw valid conclusions.
Physical Demands:
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
While performing the duties of this job, the employee is regularly required to talk or hear.
The employee regularly is required to stand, walk, sit, use hand to finger, handle or feel objects, tools, or controls; and reach with hands and arms.
The employee occasionally lifts/carries paperwork, files, office supplies, up to 20 lbs.
, pushes/pulls exerting up to 5-10 lbs.
force, opening doors, file drawers, pushing files in drawers, and kneeling/crouching and/or ability to reach lower file drawers, file stretching to store of retrieve materials.
Specific vision abilities required by this job include close vision and the ability to adjust focus.
Frequent sitting at desk or computer while typing, completing paperwork, or meeting with patients.
Work Environment:
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job.
Normal office environment where there is no physical discomfort cue to temperature, dust, noise, and the like.
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Recommended Skills Active Listening Attention To Detail Business Correspondence Calculations Communication Confidentiality Estimated Salary: $20 to $28 per hour based on qualifications.
We celebrate diversity and are committed to creating an inclusive environment for all employees.
Job Description:
The Patient Advocacy Representative plays a vital role in assisting individuals with understanding and enrolling in Medicaid, a government healthcare program.
Primary responsibilities will be to guide and support individuals through the application and renewal process, assisting if individuals lose coverage and complete the necessary paperwork accurately and on time.
By leveraging knowledge of Medicaid policies and regulations, the Patient Advocacy Representative helps individuals access the healthcare coverage they need.
Essential Duties and Responsibilities include the following and other duties that are assigned.
Application Assistance:
Assist individuals in completing Medicaid applications and renewals accurately and efficiently.
Explain the required documentation, deadlines, and procedures to ensure compliance with Medicaid guidelines.
Loss of Medicaid Assistance:
If individuals lose their Medicaid coverage with the State, assist those individuals with the appropriate next steps.
Information Provision:
Connect individuals with Medicaid program resources and materials.
Referrals and Resources:
Connect individuals with additional resources and support services, such as community organizations or healthcare providers, to help them access necessary healthcare and social services beyond Medicaid coverage.
Application Follow-up:
Monitor the progress of Medicaid applications, ensuring they are processed timely and accurately.
Communicate with individuals regarding any missing documentation or additional information required to facilitate the application's approval.
Compliance Adherence:
Stay updated with Medicaid policies, procedures, and eligibility criteria to ensure accurate guidance and compliance with program regulations.
Maintain confidentiality and handle sensitive information with utmost care.
Collaborative Support:
Coordinate with other healthcare professionals, enrollment specialists, or social workers to streamline the application process and address any complex cases or challenges faced by individuals.
Documentation and Reporting:
Maintain accurate and detailed records of all interactions and outcomes, documenting application statuses, trends, and challenges faced by applicants.
Generate reports as required to track performance and identify areas for improvement.
Qualification Requirements:
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily.
The requirements listed below are representative of the knowledge, skill, and/or ability required.
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Position requires constant mental alertness, attention to detail, and high degree of accuracy required in completing all assignments.
Strong problem-solving skills.
Smart, driven, exceptional work ethic.
Must be able to follow oral and written instructions and follow -through on all assignments.
Excellent organizational skills.
Highly detailed-oriented.
Ability to work well in a group setting and independently.
Experience working in a customer service-oriented role, preferably in a healthcare or social services setting.
Familiarity with Medicaid programs, policies, and eligibility criteria.
Excellent verbal and written communication skills, with the ability to explain complex information in a clear and concise manner.
Empathy, patience, and active listening skills when interacting with individuals seeking Medicaid assistance.
Strong attention to detail and organizational abilities to ensure accurate and timely completion of applications.
Proficiency in using computer systems, databases, and online application portals.
Ability to work effectively in a fast-paced environment and handle multiple tasks simultaneously.
Education and/or
Experience:
High school diploma or equivalent Additional education or certification in healthcare administration or a related field is a plus.
Language Skills:
Ability to read, analyze, and interpret human service periodicals, professional journals, technical procedures, or governmental regulations.
Ability to write reports, business correspondence, and procedure manuals.
Ability to effectively present information and respond to questions from groups of managers, clients, customers, and the general public.
Excellent communication and interpersonal skills.
Mathematical Skills:
Ability to calculate figures and amounts such as percentages, mean, mode and median ability to draw and interpret graphs.
Reasoning Ability:
Ability to define problems, collect data, establish facts, and draw valid conclusions.
Physical Demands:
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
While performing the duties of this job, the employee is regularly required to talk or hear.
The employee regularly is required to stand, walk, sit, use hand to finger, handle or feel objects, tools, or controls; and reach with hands and arms.
The employee occasionally lifts/carries paperwork, files, office supplies, up to 20 lbs.
, pushes/pulls exerting up to 5-10 lbs.
force, opening doors, file drawers, pushing files in drawers, and kneeling/crouching and/or ability to reach lower file drawers, file stretching to store of retrieve materials.
Specific vision abilities required by this job include close vision and the ability to adjust focus.
Frequent sitting at desk or computer while typing, completing paperwork, or meeting with patients.
Work Environment:
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job.
Normal office environment where there is no physical discomfort cue to temperature, dust, noise, and the like.
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Recommended Skills Active Listening Attention To Detail Business Correspondence Calculations Communication Confidentiality Estimated Salary: $20 to $28 per hour based on qualifications.
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