Patient Continuity and Advocate

The Patient Continuity and Needs Advocate (PCNA) serves as a vital bridge between patients and comprehensive care, ensuring every eligible patient receives the right healthcare plan and support services tailored to their unique needs.

• Evaluate patient needs and connect eligible individuals with appropriate health plans and community resources.
• Proactively reach out to disenrolled members to understand barriers and facilitate their return to our medical centers.
• Collaborate with center leadership, sales teams, brokers, and clinical staff to develop and execute targeted patient retention strategies.
• Ensure seamless transitions and sustained engagement to prevent gaps in care.
• Utilize EMR, Medals, and Salesforce to document patient information and maintain a work queue of patient accounts.
• Complete documentation in compliance with all regulatory agencies, including HIPAA.
• Perform other duties as assigned by the manager.

• Competent business acumen and in-depth knowledge of general job-related functions, practices, and procedures.
• Fundamental knowledge of local, state, and federal healthcare benefit services and plans.
• Ability to build and maintain exceptional customer service relationships with agencies, patients, and providers.
• Dependable and time conscious, flexible, and a self-starter capable of managing frequent changes.
• Understanding of member attribution, eligibility, and the disenrollment process.
• Excellent customer service and service recovery skills.
• Experience working with insurance brokers or agents preferred.
• Detail-oriented with proficiency in Salesforce.
• Strong written and verbal communication skills.
• Positive attitude and ability to build trust with partners.
• Proficient in Microsoft Office Suite.
• Spoken and written fluency in English.

High School diploma or GED equivalent required. BA/BS preferred or additional experience may be considered.

A minimum of three (3) years’ work experience required; experience working with seniors a plus, as well as a general understanding of Medicare Advantage.

$17.0 – $24.26 hourly. Final compensation depends on experience, education, location, and other factors. Bonus or commission opportunities may be available.