1,939 Advocacy Roles jobs in the United States

Identify and analyze target markets within the service area to grow referrals Build and maintain relationships with physicians, hospitals, assisted living and skilled nursing facilities Present Ovation Hospice services and credentials to potential re Patient, Advocate, Healthcare, Hospice

Position SummaryAt CloudRx, we are seeking a skilled and detail-oriented Patient Advocate to join our team. As a Patient Advocate, you will be primarily responsible for handling inbound calls, assisting clients with their inquiries, and ensuring efficient transfer of calls to appropriate teams when necessary. Your exceptional communication skills and strong pharmaceutical knowledge will be critical in providing excellent clients service and contributing to the smooth operation of our pharmacy. At CloudRx, we understand that our business thrives when our employees thrive, and it begins with hiring the right Patient Advocate. Essential Duties and Responsibilities The essential functions include, but are not limited to the following: Inbound Calls Management: Manage inbound calls from clients, healthcare professionals, and stakeholders, offering courteous and knowledgeable assistance for inquiries and medication-related concerns. Utilize active listening to address needs or direct calls to the appropriate department. Call Transfer to appropriate team: Transfer complex calls to higher-level technicians or pharmacists for prompt resolution, ensuring a smooth transition and providing relevant information. Client Service and Support: Deliver exceptional clients service, handling complaints and educating clients about medications and usage. Compliance and Safety: Maintain compliance with pharmacy regulations, policies, and safety protocols. KPIs Responsibilities; The lead will monitor the number of inbound calls, calculating both the total per day and the total handled by individual agents. Other metrics being measured are the average speed to answer, average handling time, internal transfers, etc. Other assigned duties. Minimum Qualifications (Knowledge, Skills, and Abilities) High school diploma or equivalent. Proven experience in a pharmacy or in a similar client service role is an advantage. Strong knowledge of pharmaceutical terminology, drug classifications, and common medications. Excellent communication skills, both verbal and written, with the ability to convey complex information in a clear and concise manner. Ability to multitask and prioritize tasks effectively in a fast-paced environment. Detail-oriented, with a commitment to accuracy and precision in data entry and clients' interactions. Understanding of patient privacy and confidentiality standards (HIPAA). Willingness to work flexible hours, including weekends or evenings, as needed. Physical Demands and Work Environment The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this position. Reasonable accommodation may be made to enable individuals with disabilities to perform the functions. Prolonged periods sitting at a desk and working on a computer. Prolonged periods of standing and bending. The employee is frequently required to walk; use hands to finger, handle, or feel; and reach forward with hands and arms. The employee is also occasionally required to sit and stoop, kneel, or crouch. The employee must occasionally lift and/or move up to thirty pounds.

Our client, a healthcare consulting firm, is seeking a Patient Advocate for a direct hire role in Milton, GA. A typical day for a Patient Advocate is utilizing systems/technology and coordinating efforts between patients, the patient doctors offices Advocate, Patient, Customer Service, Skills, Pharmacy Technician, Healthcare, Staffing, Communication

SummaryDynamic role that requires assisting and supporting patients/families/visitors with grievances and concerns while upholding Parkview's standards and mission. Responsible for identifying and documenting customer service issues through the standardized work process in a timely manner. Works as mediator between patients/families and Parkview staff to ensure concerns are addressed and facilitates resolution. EducationBachelor's degree needed, with preference in the following fields: Social Work, Psychology, Sociology, or Human Services. Degrees in the medical field or other service fields would also be considered.ExperienceRecent experience in social services, conflict resolution, medical settings, or customer service highly preferred. Other QualificationsMust have good verbal and written communication skills and the ability to calmly utilize conflict resolution tactics. Candidate should be able to work well on a team and exhibit flexibility and strong multitasking skills. Must be comfortable working with people who are escalated and disgruntled while maintaining composure. Must have sharp organization skills and ability to prioritize tasks. Travel will be required to other Parkview locations on a regular basis.

• Assists patients, families, and visitors with hospital related concerns and questions.
• Ensures timely response and review of patient/visitor comments.
• Assists in ensuring and appropriate documentation and reporting system for patient/visitor problems or grievances and provides recommendations for resolution.
• Identifies and implements, as appropriate, patient/visitor input.
• Courtesy visit will be made to patient/families when stay exceeds five days. Such visits will be personal or through the use of volunteer visitors.
• Through regular visitation with patients and families will provide assistance and support.
• Provides services and care in a manner that enhances the hospital's environment and image.
• Facilitates cooperative format and informal working relationships with other departments and medical staff.
• Facilitates patient, family, and visitor satisfaction with services provided as much as is possible.
• Responds to requests for assistance from the critical care areas. Interacts with family members and provides emotional and spiritual support as appropriate or refers as needed.
• Familiar with hospital organization, policies, and procedures.
• Responds to Code Calls and offers assistance to family members as appropriate.
• Sits on FSRMC Ethics Committee
• Partners with PX to oversee Lost & Damaged patient belongings
• Communicates with nursing unit leadership persons on a routine basis to identify and discuss areas of concern, problems, and issues of relevance.
• Coordinates in cooperation with Volunteer Services for the utilization of Volunteer Patient Visitors.
• Maintains records and documents for departmental compliance with local, state, federal, and JCAHO requirements.
• Leads FSRMC Grievance Committee
• Ensures patient rights are protected.
• Establish and implement department policy and procedures.
• Provides assistance with patients/families in the understanding and completion of Advanced Directive documents.
• Maintains and promotes a personal, professional philosophy of community involvement by participating in professional and community activities.
• Attend and/or conduct educational offerings.
• Speaks to hospital and community groups as requested.
• Participates in hospital and community health related activities and peer groups.
• Active in professional association.
• Follows policies, procedures, and safety standards. Completes required education assignments annually. Works toward achieving goals and objectives, and participates in quality improvement initiatives as requested.
• The Patient Representative supports the philosophy of the hospital, meets the standard of performance of the department, and demonstrates professional behavior.
• Assists in the development and attainment of annual departmental goals.
• Participates in various hospital committee meetings for problem solving, decision making, and communication.
• Perform other related duties as required and requested.

How Youll Help Transform Healthcare: This position will provide frontline risk management through the intake, investigation, and either resolution or escalation of complaints and grievances from patients, family members, and visitors. The Patient Ad Patient, Advocate, Healthcare, Director, Staff

Job Type

Full-time

Description

*Starting at $15.00 per hour*

About Jordan Valley Community Health Center:

Jordan Valley Community Health Center (JVCHC) is a mission-driven organization dedicated to improving the health of individuals and families in underserved communities. We provide comprehensive healthcare services including primary medical, dental, vision, and behavioral health. Our mission is simple: Improve our community's health through access and relationships. By working collaboratively with partners and continually innovating, JVCHC strives to be a leader in providing essential healthcare for the underserved, ensuring everyone in our community has access to quality healthcare.

Job Summary:

The Patient Advocate is responsible for the scheduling of patient appointments through phone correspondence and directing callers to appropriate departments.

Key Responsibilities:

• Maintain HIPAA compliance.
• Schedule patient appointments based on patient's need and scheduling policies and communicate with health care team regarding scheduling issues.
• Answers telephone and gives information to callers; routes call to appropriate personnel and/or takes necessary messages.
• Works closely with providers and staff to maintain needs of the patient while adhering to scheduling protocols.
• Promotes effective working relations and work effectively as part of a team to facilitate the Clinic's ability to meet its goals and objectives.
• Maintain daily cash balancing and reporting.
• Obtain medical information from patient and enter in electronic record.
• Obtain payor source information and verify insurance eligibility.
• Complete patient follow-up calls as directed, provide follow-up to patients to address barriers to care, and answer questions.
• Fill out excuse forms per provider request for patients after they are seen.
• Assist patients with connecting to other resources (i.e complete Medicaid applications, slide enrollments, payment agreements, etc.).
• Assist patients who have difficulties completing paperwork or understanding information.

• Medical and Prescription Drug Coverage: Three comprehensive plan options (Buy-up, Base, and High Deductible) through UnitedHealthcare's Choice Plus network, covering various deductibles and out-of-pocket limits. Includes access to telemedicine services via Teladoc.
• Health Savings Account (HSA): Available for employees in the High Deductible Plan with employer contributions and tax advantages.
• Flexible Spending Account (FSA): Options for both healthcare and dependent care FSAs, allowing pre-tax contributions for qualified expenses.
• Dental and Vision Coverage: Dental insurance through Cigna's DPPO network and vision coverage through EyeMed's Insight network.
• Retirement Plan: Pre-tax and Roth 403(b) retirement plans with a 5% employer match starting after 30 days of employment.
• Life and Disability Insurance: Basic Life and AD&D insurance provided at no cost, with the option to purchase additional coverage. Long-term and short-term disability insurance are also available.
• Employee Assistance Program (EAP): Free confidential support for personal and professional challenges, including counseling and crisis intervention.
• Additional Voluntary Benefits: Options for critical illness, accident, hospital care, and pet insurance through MetLife.
• Pay on Demand Available

• Nine paid holidays per year.

• 1 year of progressive work experience in a medical setting
• Proficient in Window based computer program

Worker Type: Regular

Work Shift: Primarily days with possible weekends/evenings/holidays (United States of America)

Pay Range: $20.50 - $27.00

You Belong at Avera: Be part of a multidisciplinary team built with compassion and the goal of Moving Health Forward for you and our patients. Work where you matter.

Responsible to provide assistance to patients and/or families as they navigate through all aspects of their medical paperwork, including insurance, billing, payment and collection process. This position is responsible to screen patients to determine potential for program assistance, complete application with patient and families, and follow up after discharge regarding application and maintain knowledge base of community agencies and resource to facilitate appropriate referrals, including maintaining a thorough understanding of eligibility requirements and current laws governing government programs. A successful advocate will communicate with patients, families, case managers, and providers to assess care plans and corresponding coverage needs and work in a compassionate and tactful manner to help facilitate access to and provide continuity of care. Advocates also work with other members of the care teams, insurers, financial, and administrative personnel.

• Insurance Screening: Obtain detailed patient insurance benefit information for all aspects of cancer care, including, but not limited to, outpatient services and prescription drugs. Verify insurance coverage and other medical benefits and acquire necessary referrals and authorizations.
• Identify self-pay patients and evaluate coverage opportunities. Assist with completion of all needed applications for coverage, including applications for drug assistance. Provide accurate cost estimate details to patients prior to appointments.
• Discuss benefits and other financial concerns with patients and/or family members during initial referral and during continuation of care. Identify and effectively communicate financial information to team members, patients, and their families with emphasis on identifying any potential patient out-of-pocket liability. Assist patients with questions concerning insurance, coverage, and other financial issues. Document in patient record as appropriate.
• Obtain all necessary insurance authorizations. Obtain clinical information as needed from the medical record to answer clinical questions during authorization process. Communicate with care team and pharmacy staff to ensure that all treatments meet medical necessity. Draft medical necessity authorization request letters to include insurance contact information, patient history, and appropriate scientific literature. Manage both routine and complex insurance authorizations directly. Responsible for the coordination of level II appeals with oversight from the appropriate medical staff.
• Work with patients, their families and team members to help address insurance coverage gaps via alternative funding options including, but not limited to, help with completing applications for copay assistance, compassionate use drug and/or Avera Patient Assistance. Assist patient and family members in completing work-related documentation including, but not limited to, FMLA, short term disability, long term disability, and work letters.
• Maintain tracking mechanisms for status of authorization requests, referrals, and drug assistance. Regularly assesses updated information regarding insurance data, authorizations, and preferred providers. Track free drug assistance to ensure patients maintain coverage when initial enrollment ends.
• Facilitate resolution of patient billing issues which may include appealing denied claims. Work in collaboration with the patient, insurance, and business office.
• Work as a member of a team of Patient Advocates to assist in other oncology departments as needed. Work with multiple disciplines and departments to ensure clear communication and prompt delivery of treatment. Accurately document all interactions related to advocacy within the EMR.

The individual must be able to work the hours specified. To perform this job successfully, an individual must be able to perform each essential job function satisfactorily including having visual acuity adequate to perform position duties and the ability to communicate effectively with others, hear, understand and distinguish speech and other sounds. These requirements and those listed above are representative of the knowledge, skills, and abilities required to perform the essential job functions. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential job functions, as long as the accommodations do not cause undue hardship to the employer.

• Associate's social work, coding, or a healthcare-related field and/or combination of experience and education.
• 1-3 years Experience in healthcare and insurance verification.

• Commitment to the daily application of Avera's mission, vision, core values, and social principles to serve patients, their families, and our community.
• Promote Avera's values of compassion, hospitality, and stewardship.
• Uphold Avera's standards of Communication, Attitude, Responsiveness, and Engagement (CARE) with enthusiasm and sincerity.
• Maintain confidentiality.
• Work effectively in a team environment, coordinating work flow with other team members and ensuring a productive and efficient environment.
• Comply with safety principles, laws, regulations, and standards associated with, but not limited to, CMS, The Joint Commission, DHHS, and OSHA if applicable.

Avera is proud to offer a wide range of benefits to qualifying part-time and full-time employees. We support you with opportunities to help live balanced, healthy lives. Benefits are designed to meet needs of today and into the future.

• PTO available day 1 for eligible hires.
• Free health insurance options, for full-time single coverage on Avera High Deductible Health Plan
• Up to 5% employer matching contribution for retirement
• Career development guided by hands-on training and mentorship

Avera is an Equal Opportunity Employer - Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, Veteran Status, or other categories protected by law. If you are an individual with a disability and would like to request an accommodation for help with your online application, please call 1-605-504-444 or send an email to

Schedule: Monday-Friday 8am-5pmPay Range: $17.14-21.25 per hour, dependent on experience JOB SUMMARY:Under direction of the Value Based Care (VBC) Leadership, the Patient Advocate provides and facilitates communication of basic health information, and performs clerical, clinical documentation, including insurance information benefits for support services for patients in VBC. Serves as telephonic and clerical support for the VBC patients and provides services such as appointment scheduling and medical record retrieval. Provides basic social services and application assistance for VBC patients as needed and is responsible for ensuring billing and documentation is complete for VBC patients. The Patient Advocate also assists in the development and implementation of patient campaigns for health risk assessments, annual wellness visits, and other prevention strategies as designated by the VBC leadership.ESSENTIAL DUTIES AND RESPONSIBILITIES: Serves as the main point of contact with hospitals for the scheduling of patients post discharge and ER diversion.Uploads hospital records from hospital electronic medical record (EMR) to Athena for new admissions/discharges. Calls and faxes requests for inpatient and post-acute records from facilities when EMR access is limited or not obtainable.Assists the VBC patients with coordinating new referrals for patients post discharge to ensure the specialist receives the referral, supporting clinical documentation, and authorization. Ensures the patient is given a timely appointment from the specialist and follows up after the appointment to ensure records are uploaded to the patient's Athena chart and placed in review to the Primary Care Provider.Assists with coordinating start of care with Home Health Agencies as needed.Interacts with Home Health Care agencies and SNFs for patient status and Discharge planServes as the point of contact for all Value Based Care patients that do not have an assigned care manager.Assist patients with appointment scheduling with the PCP, specialists, and testing facilities.Facilitates reminder calls for appointments, labs, and outstanding quality improvement measures.Interacts in a professional manner with patients, staff, and external customers.Completes telephonic campaigns for annual wellness visits, health risk assessments, and other prevention campaigns.Ensures billing is complete for VBC patient care plans.Athena labeling maintenance: marking the charts of newly attributed VBC/DCE patients. Unmarks the charts of those termed/deceased patients. Maintaining VBC patient lists inside of the population health tool for newly assigned and termed patients.Completes the deceased and hospice patient workflows.Schedules new patients "First "appointment and Annual Wellness Visit appointmentsValidates patient insurance for VBC patients and updates in AthenaAssess for SDOH within AthenaEducates/offer assistance on state's Medicaid programsIdentifies patients for conversion into VBC Medicare Advantage and/or Medicaid (Duals) plans by using the "Age-in" report by sending birthday cardsParticipates in pertinent meetings and workshops as directed.Interacts with respect and in a professional manner with patients, staff, and external customersFollows HIPAA and OSHA Standards and guidelines.Maintains HR compliance and procedures.Ensures patient satisfaction by providing excellent service putting "patients first always"Other duties as assigned KNOWLEDGE/SKILLS/ABILITIES: The Patient Advocate must be able to perform each essential duty satisfactorily. The requirements listed are representative of the knowledge, skill, and/or ability required. A general knowledge of primary care practice, clinics, hospitals, specialists, and ancillary health services and basic knowledge of legal and ethical standards for the delivery of primary care and medical terminology. Must have personal effectiveness and credibility, collaborative skills, communication proficiency and flexibility. Must be able to work independently and as a team player. Uses reason and speaks clearly, respectfully, and persuasively in positive and negative situations, focusing on resolving conflict. Must demonstrate strong decision making and documentation skills. Possesses organizational and problem-solving skills: Identifies and resolves problems in a timely manner; gathers, analyzes, and communicates information skillfully; develops alternative solutions in an organized manner. Knows, understands, and works within the scope of his/her practice. Able to delegate responsibilities appropriately to staff licensure, education, and experience. Able to work independently and in a multidisciplinary team. Keeps leadership informed and seeks advice and/or help from management whenever needed. Able to manage difficult or emotional customer service situations and responds to requests for customer service and assistance in a timely and appropriate manner. Shows respect and sensitivity for cultural diversity, promotes a harassment-free environment, and fosters a non-discriminatory climate. Keeps commitments; inspires the trust of others; works with integrity and ethically. Adapts to changes in the work environment and demonstrates willingness to change approaches or methods as needed to best fit the situation within practice guidelines.EDUCATION AND EXPERIENCE REQUIREMENTS High school diploma or a GED is required Minimum of 2 years medical clinic front office and/or medical assistant experience is required; or equivalent combination of education and experience Strong computer skills and proficiency in internet software and knowledge of Microsoft Office products required Able to effectively utilize an electronic health record Basic knowledge of Medical Insurance is preferred Basic knowledge of Medicare plans including Medicare Advantage (MA) HMO, PPO, C-SNP, D-SNP; Duals) is preferred Athena EHR experience preferredWORKING ENVIRONMENTThe position requires climbing, stooping, kneeling, crouching, reaching, standing, lifting, grasping, feeling, talking, hearing, repetitive motions, and finger use. Pushing and pulling are occasionally required. Use of a computer, keyboard, and telephone along with various office machines is an essential part of the job.DISCLAIMERThe above statements are intended to describe the general nature and level of work being performed by the Patient Advocate. They are not to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified. The Patient Advocate may be required to perform duties outside of their normal responsibilities from time to time as needed or as directed by supervision.