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Patient Resource Advocate - Sturgis, Mi

Company: ClaimAid
Location: Battle Creek
Posted on: November 16, 2022

Job Description:

Do you want to make a difference in your community? Do you have a passion for helping people? If you said 'Yes' to those questions and you have an organized & analytical way of thinking, we may have the perfect job for you. Working in a healthcare environment, ClaimAid Patient Resource Advocates identify and represent self-pay patients who are potentially eligible for medical coverage through a federal or state agency. At ClaimAid, our vision is to positively impact the lives we touch by consistently following our principles.This is a full-time position. Benefits are available (health, dental, vision & life insurance; paid vacation & sick time; 401k, etc.).The primary functions of this position include (but are not limited to):Contact and interview patients and/or families to screen the appropriateness of filing applications(s) for medical coverage.File a timely, accurate and complete application(s) to ensure coverage of all dates of service.Assist patients with obtaining the needed verifications and documentation (with patient's authorizations) that is required to determine eligibility.Monitor and assist with the application process including attending interview when necessary to maintain all processing deadlines.Document and update status within Client and ClaimAid's system on regular basis to maintain accountability.Assist patient w/Appeals when appropriate.Maintain confidentiality of patient health information in compliance with HIPAA regulations.Qualifications include (but are not limited to):Must pass state background check for criminal history and be willing and able to obtain required certificationsPreferred: Knowledge of eligibility policy rules and processing requirements for programs administered by Michigan Social Services AdministrationPreferred: Experience processing referrals and appeals with Medicaid/Social Security Disability InsuranceHigh school diploma required. Bachelor's degree or equivalent business experience helpfulMust have strong organizational, investigative, analytical, and judgment skillsMust have excellent spelling and grammar; good phone skills;basic math skills; able to set priorities and meet deadlines; able to multi-task; carefully proof your own workMust demonstrate effective communication skills by conveying necessary information accurately, listening effectively, and asking questions when clarification is neededMust be able to work independently and as part of a teamMust exhibit professional demeanor both on the phone and in personMust be able to travel regionally with occasional overnight staysMust be familiar with Microsoft Office ToolsPhysical Requirements include (but are not limited to):Hearing: Adequate to perform job duties in person and over the telephone.Speaking: Must be able to communicate clearly to patients in person and over the telephone.Vision: Visual acuity adequate to perform job duties, including reading information from printed sources and computer screens.Requires frequent bending, standing, walking (sometimes at a fast pace and at long periods of time), squatting and sitting.The above is intended to describe the general content and requirements for the performance for this position. It is not to be construed as an exhaustive statement of duties, responsibilities or requirements.

Keywords: ClaimAid, Battle Creek , Patient Resource Advocate - Sturgis, Mi, Other , Battle Creek, Michigan

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