Patient Resource Advocate in South Bend, IN

Company: ClaimAid
Location: South Bend
Posted on: January 24, 2023

Job Description:

Do you want to make a difference in your community? Do you have a passion for helping others? 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 represent self-pay patients to determine eligibility for medical coverage through a federal or state agency. At ClaimAid, our vision is to positively impact the lives we touch.



Do you want to grow in your career, learn new skills, and be challenged to be your best? As a Patient Resource Advocate, you will be required to possess or earn the Indiana Navigator License. You will serve as an expert who is able to support individuals and families by determining eligibility and enrolling them in subsidized health care coverage. ClaimAid has a thorough training program to prepare Advocates to obtain their Navigator license.



This is a full-time position. Benefits for Patient Resource Advocates include:


Health insurance
Health Savings Account w/company contribution
Dental insurance
Vision insurance
Life insurance
Nine paid holidays annually
Paid vacation time off
Paid sick time off
Paid volunteer time off
401k with company match
And more


Primary Functions of a Patient Resource Advocate include (but are not limited to):


Contact and interview patients and/or families to prepare applications(s) for medical coverage.
Assist patients with obtaining the verifications and documentation that are required to determine eligibility.
File timely, accurate, and complete applications to ensure coverage for all dates of service.
Monitor and assist with the application process including attending interviews, when necessary, to meet all deadlines.
Assist patient w/appeals when appropriate.
Document and update status within client and ClaimAid systems on a regular basis.
Protect the confidentiality of patient information in compliance with HIPAA regulations.


Qualifications of a Patient Resource Advocate include (but are not limited to):


Required: Must possess or be willing & able to obtain the Indiana Navigator License
Preferred: Knowledge of eligibility policy rules and processing requirements for programs administered by Indiana Family & Social Services Administration (FSSA)
Preferred: Experience processing referrals and appeals with Medicaid/Social Security Disability Insurance
Education: High school diploma or GED required. Bachelor's degree or equivalent business experience helpful
Must have strong organizational, investigative, analytical, and judgment skills
Must 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 work
Must be able to work independently and as part of a team
Must exhibit professional demeanor both on the phone and in person
Must be able to occasionally travel to Indianapolis with the potential of overnight stays
Must be familiar with Microsoft Office Tools and type at least 40 words per minute


Physical Requirements of a Patient Resource Advocate include (but are not limited to):


Adequate hearing & vision
Clear speaking
Adequate agility to bend, stand, walk, squat, etc.
Must meet relevant health screening requirements




At ClaimAid, we are a culture founded on teamwork and compassion that extends beyond our services and into the communities we serve. We are constantly striving to create a workplace that encourages growth, delivers results to our clients, and makes a positive difference every day. Our vision is to positively impact the lives we touch by consistently following our principles.



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.PI201978406

Keywords: ClaimAid, South Bend , Patient Resource Advocate in South Bend, IN, Other , South Bend, Indiana