Health Care Representative/Patient Advocate

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 is always seeking bright, dedicated and friendly people with the skills and attitude to provide top-notch service to our clients.

Chamberlin Edmonds 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 Health Care Representatives evaluate many factors other than financial criteria in their decision making process, such as the patient’s 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

•Flexible Spending Accounts for Medical and Healthcare Spending
•401(k) with employer matching
•Paid Time off
•Short and Long-term disability insurance
•Additional Term Life Insurance
•Advancement Opportunities

•Long Term Care insurance
•Company Training
•Competitive salaries


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

•Ability to apply knowledge of federal and state programs to benefit coverage for the client

•Knowledge of state Medicaid and/or federal SSI/SSDI disability application programs and processes
•Understanding of and ability to apply the medical definition of Disability as it relates to the body systems and functions of daily living
•Ability to read and apply the information contained in medical records
•Strong and demonstrated communication skills (verbal and written)
•Demonstrated experience working with people of various socioeconomic and educational backgrounds
•Strong organizational skills
•Proficient computer skills in Microsoft products: Outlook, Word and Excel 
•Reliable transportation

Preferred:

•Bachelor’s Degree, preferably in Nursing or Social Work
•Previous experience in a hospital environment (RN, Admissions, Financial Counseling, Utilization Review)
•Experience communicating with government case workers and/or hospital personnel
•Ability to read, speak and write both English and Spanish fluently
•Previous experience working with the Social Security Administration (SSA) Disability Determination Services (DDS) and/or state Medicaid offices