Bilingual Patient Continuity and Needs Advocate
Core
Supports eligible patients and families in receiving Medicaid and Federal resources while maximizing medical benefits and ensuring adherence to State and Federal Policies.
Role type
Patient Continuity and Needs Advocate (PCNA)
Builds
Patient enrollment workflows and benefit utilization pathways
Domain
Healthcare administration / Medicaid compliance
Deliverable
client delivery
Required skills
Medicaid enrollment procedures, demographic data collection, EMR system navigation, HIPAA compliance, member eligibility verification, Salesforce proficiency, Microsoft Office Suite
Preferred skills
Insurance broker/agent experience, Medicare Advantage knowledge, senior care experience
Technologies
Salesforce, EMR systems, Microsoft Office Suite
Responsibilities
Support Medicaid enrollment and collect demographic/financial documentation; Identify and share opportunities to maximize medical benefits; Utilize EMR systems to document patient issues and resolutions; Maintain assigned work queue of patient accounts; Ensure compliance with regulatory agencies including HIPAA
Seniority
Individual Contributor, entry-to-mid level