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Responsibilities
Full-time
Description
Job Purpose
The Patient Advocate will complete Medical Assistance Applications for patients who may potentially qualify for benefits under the MA Program or other entitlement programs. The role includes obtaining all necessary documents required by the County Assistance Office to determine eligibility.
Duties and Responsibilities
* Complete the Medical Assistance Application, screen for disability, and complete the hospital charity care form with the patient, family member, or guardian.
* Update the computer system daily.
* Complete Medical Assistance production reports daily.
* Deliver 1663 forms to the appropriate physician within 24 hours of completing the application.
* Secure all releases, waivers, and questionnaires needed.
* Provide each patient with a pending documents checklist and follow up daily while the patient is still in-house (if applicable).
* Fax all necessary verification within the first 24-48 hours of completing the MA application.
* Prepare applications for drop-off at the County Assistance Office.
* Process discharge files immediately.
* Follow up with the County Assistance Office until a determination has been made.
* Assist with the Marketplace where applicable.
* Report red flag and non-cooperative patients to management.
* Use, protect, and disclose patients’ protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards.
Requirements
* Ability to work at various client sites as needed.
* High school diploma or equivalent is required.
* College degree in the healthcare field preferred.
* 2 to 3 years’ experience in the field of healthcare preferred.
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