Bilingual (Spanish) Patient Advocate
Emdeon - Boston, MA

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Would you like to work for a company that is a leader in its industry? How about a company that really does make a difference by helping people? Chamberlin Edmonds, an Emdeon, company, is always seeking bright, dedicated and friendly people with the skills and attitude to provide top-notch service to our clients.

Chamberlin Edmonds, an Emdeon Company, works as an augmentation to existing hospital staff to assist uninsured patients through the difficult processes of applying for medical assistance. Chamberlin Edmonds relieves patients and hospital staff from the confusion and frustration of the application process.

Chamberlin Edmonds professionals are trained to recognize the obscure cases that are frequently overlooked and may not appear to fall under most eligibility guidelines. Our unique expertise enables us to obtain short-term funding solutions and, wherever appropriate, to secure long-term Medicare conversions for patients. Our Patient Advocates evaluate many factors other than financial criteria in their decision making process, such as the patients mental and physical limitations, gender, age, living conditions, work history and education. All of these factors have a bearing on revenue recovery success. We routinely make applications for the following programs:
Supplemental Security Income
Social Security Disability Insurance
Medicare
End Stage Renal Disease
Medicaid (all programs)
Crime Victims Compensation
Chronically Ill and Disabled Children
Charity Care
County Indigent Health Care Programs
Numerous other state, local and community benefit programs targeting indigent, underinsured or uninsured

As part of our strategic goal of becoming an Employer of Choice, we offer an outstanding benefits package that includes:
Medical, Dental and Vision Insurance
401(k) with employer matching
Flexible Spending Accounts (FSA) for Medical and Dependent care
Paid Time off
Educational Assistance Reimbursement
Life Insurance
Advancement Opportunities
Employee Assistance Program
Paid Company Training
Employee Discounts for Travel, computers, phone bills, etc.
This exciting position is based in an area hospital and the duties include:

Screening patient referrals
Reviewing patient hospital charts
Interviewing patients on the phone after discharge and face-to-face while still in the hospital
Completing applications, by hand and on computer, for state and federal programs
Assisting and assessing the needs of the patient and hospital to ensure that referrals are resolved timely and appropriately
Providing updates and assistance to hospital personnel and other staff as needed
Maintaining documentation in both hospital computer and company database

REQUIREMENTS:
Associates Degree Able to read and speak both English and Spanish fluently
Knowledge of State Medicaid (CHP+, Family Medicaid, CICP ) and/or SSI/SSDI disability application processes and programs
Ability to read and apply the information contained in medical records to appropriate program
Previous case management experience
Ability to apply knowledge of state/federal programs to benefit coverage for the patient
Reliable transportation; travel to other local facilities may be needed
Understanding of and the ability to apply the medical definition of disability as it relates to body systems and functions of daily living
Demonstrated experience working with people of various educational and socioeconomic backgrounds
Computer skills, including word processing and data entry
Experience with both Microsoft Word and Excel programs
Demonstrated strong written and verbal communication skills

PREFERRED:
Bachelors Degree, preferably in Social Work, Nursing or Psychology
Previous experience in Social Work, Nursing and/or Utilization Review
Fluency in other languages: Creole, Portuguese
Previous Hospital business office experience in Financial Counseling or Admissions
Previous experience working for Social Security Administration (SSA) and/or Mass Health Enrollment Center

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About this company
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Emdeon is a leading provider of revenue and payment cycle management and clinical information exchange solutions, connecting payers,...