Patient Funding Alternatives (PFA) || Patient Helper/Advocate Mercy Hospital – St Louis, Missouri

ChasmPartners
Job Description
Join our growing national company as we build a team that provides real benefits to patients! We are seeking hard working, self-starters who enjoy a challenge as we work together to help patients.
The Patient Helper Program helps high cost and medically complex Medicaid beneficiaries afford the cost of employer-sponsored health insurance utilizing this added Medicaid benefit.
We are seeking bilingual (Spanish speaking) dedicated, hard-working individuals who have a passion to help patients as well as expand our rapidly growing company. Candidates must possess a "can do" attitude, have proven persuasive skills, understand the healthcare industry and have demonstrated grit and resiliency in prior roles.
This unique position has several facets:
Patient Engagement
  • Educate patients in a clear and concise manner about the Third-Party Health Insurance Premium Payment Program (THIP).
  • Assess each patient’s family dynamics and determine the best method to meet and educate the family on THIP.
  • Successfully initiate case documentation by obtaining patient/family signatures for appropriate authorization and compiling required documentation.
 Third Party Health Insurance Premium Payment Program
  • Accurately and efficiently obtain all information required to apply to THIP such as employer name, phone number and point of contact.
  • Using problem solving skills, implement solutions for all issues that arise to ensure accurate information is provided in a timely manner to THIP.
  • Work with the internal PFA team to ensure that THIP applications can be accurately completed
THIP Maintenance and Coordination of Benefits
  • Explain to patient how the employer’s health insurance plan coordinates with Medicaid.
  • Confirm a patient’s ongoing THIP eligibility following enrollment of the patient in HIPP and gather necessary information to maintain enrollment in THIP.
  • If requested by client, assist in resolution of any issues concerning health insurance benefits. 
Technology
  • Work with the PFA’s proprietary software system that manages referrals and patients in the hospital(s)
  • Upload, scan, and fax/email internal and external forms
  • Utilize an Apple I-pad & Apple I-phone for enrollment processing in locations including inpatient rooms and clinic/physician offices.
 
Client Coordination
  • Create a positive patient/client relationship and serve as the onsite contact of PFA.
  • Develop and maintain relationships with patients, key hospital personnel and other appropriate individuals. 
Job Requirements
  • Bachelor's degree in Business, Marketing, Nursing, Education, or Psychology required. Master’s degree is preferred.
  • Preferred five years of internal patient-related, hospital experience.
  • Must be positive, enthusiastic, have a can-do attitude and enjoy working with a variety of people
  • Demonstrated history of success in sales and healthcare is strongly preferred.
  • Ability to speak English as well as Spanish is preferred.
  • Must pass hospital credentialing including all vaccines, drug & alcohol testing 
Skills/Attributes
  • Energetic, ambitious, hard-working, able to handle different situations each day while working independently
  • Resilient; able to deal with sales rejection and still have a positive outlook
  • Exceptional oral and written communications skills and demonstrated ability to enthusiastically and persuasively present program materials to patients and their families
  • Demonstrated ability to effectively and efficiently collect and input information with attention to detail
  • Ability to show compassion to a marginalized population
  • Strong understanding of data security and patient confidentiality issues
  • Proven ability to quickly gain credibility, secure influence and partner with key constituencies (such as hospital administrators and patient advocates)
  • Tenacious ability to overcome obstacles and multitask to achieve success
  • Proven ability to maintain quality relationships with patients and their families and deescalate situations with empathy and understanding
  • Demonstrated ability to effectively advocate for the patient when encountering inquiries from the employer or its insurance broker
  • Exceptional interpersonal skills to form and maintain important relationships with key hospital personnel, staff of the state agency, and other persons as appropriate
  • Strong understanding of the healthcare industry, including Medicaid
 
Job Type: Full-time (40 hours per week) including medical & dental insurance
Salary: $50,000+/year based on experience plus $4,000+/year bonus potential
 
For more details on this great opportunity, contact mattzawadzki@chasmpartners.com