Patient Continuity and Needs Advocate
Core
Cultivate positive patient experience and drive long-term member retention for seniors in a primary care setting.
Role type
Patient retention and enrollment specialist
Builds
Member retention and engagement programs
Domain
Healthcare / Senior care
Required skills
Medicaid enrollment, HIPAA compliance, EMR systems, Salesforce, service recovery, member attribution, eligibility processes, relationship building with seniors, insurance broker/agent liaison
Preferred skills
Experience with Medicare Advantage, knowledge of insurance brokers/agents
Technologies
EMR, Salesforce, Medallia, Microsoft Office Suite
Responsibilities
Support Medicaid enrollment and collect demographic/financial data; Identify and share opportunities to maximize medical benefits; Utilize EMR to document patient issues and maintain work queues; Engage with patients in the lobby for referrals and service recovery; Escalate service recovery issues; Leverage tools to identify members for early service recovery; Connect disenrolled members with brokers/agents for reenrollment; Report on disenrollment and engagement trends.
Seniority
Individual Contributor, mid-level (3+ years experience)