Patient Continuity and Advocate

Patient Continuity and Needs Advocate (PCNA)

Responsibilities:

• Supports Medicaid enrollment; collects demographic documentation and financial data and initiates follow‑up procedures when necessary.
• Identifies and shares with patient and/or family member(s) opportunities to maximize medical benefits and, when necessary, arranges follow‑up appointments to ensure appropriate guidance to health services and application timelines.
• Utilizes an EMR system to gather and store patient information, respond to questions on behalf of the patient, and document patient issues and resolutions in a timely manner.
• Maintains assigned work queue of patient accounts.
• Completes relevant patient documentation in compliance with all regulatory agencies, including HIPAA.
• Performs other duties as assigned and modified at manager’s discretion.

• Fundamental knowledge and understanding of local, state and federal healthcare benefit services and plans.
• Ability to build and maintain exceptional customer service relationships with healthcare services agencies, patients, providers and peers.
• Dependable and time conscientious.
• Flexibility, agility, self‑starter, comfortable with frequent changes and innovations.
• Competent level business acuity.
• In‑depth knowledge and understanding of general/core job‑related functions, practices, processes, procedures, techniques and methods.
• Understanding of member attribution, eligibility and the disenrollment process.
• Demonstrated skill in customer service and service recovery.
• Knowledge of and experience in working with insurance brokers or agents preferred.
• Detail‑oriented with proficiency in Salesforce.
• Strong written and verbal communication skills.
• Positive attitude and the ability to build trust with internal and external partners.
• Proficient in Microsoft Office Suite products including Word, Excel, PowerPoint and Outlook, plus a variety of other word‑processing, spreadsheet, database, e‑mail and presentation software.
• Spoken and written fluency in English.

• High School diploma or GED equivalent required; BA/BS degree preferred or additional experience above the minimum may be considered in lieu of the required education on a year‑for‑year basis.
• Minimum of three (3) years’ work experience required; experience working with seniors or a general understanding of Medicare Advantage is a plus.

$17.0 – $24.26 hourly. The posted pay range represents the base hourly rate or base annual full‑time salary for this position. Final compensation will depend on a variety of factors including but not limited to experience, education, geographic location, and other relevant factors. This position may also be eligible for bonuses or commissions.

Employees enjoy comprehensive benefits, career development and advancement opportunities. Benefits information available at