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About the Role

The Patient Advocate Specialist identifies, educates, and enrolls eligible hospital patients into the Health Insurance Premium Payment (HIPP) program, which allows Medicaid beneficiaries to access employer-sponsored coverage for broader networks and more comprehensive care. This role is the face of PFA within partner hospitals, requiring sales-like skills such as persistence and comfort with rejection, paired with a genuine belief in the program's benefits for patients.

Responsibilities

Identify and approach eligible patients and families from hospital referrals and daily census review.
Explain HIPP clearly and compassionately, adapting communication to each family's situation.
Work through hesitation, confusion, and mistrust without pressuring anyone.
Gather the authorizations and documentation needed to move an application forward.
Build trust with patients while holding professional boundaries.
Collect complete, accurate application data: employer details, plan information, premium costs, dependent information.
Solve problems before they stall a case, including unresponsive employers, missing paperwork, and eligibility questions.
Hand off cleanly to PFA's State Operations and Benefit & Advocacy teams so applications get submitted, approved, and supported after enrollment.
Own your caseload from first contact to enrollment.
Explain how employer coverage and Medicaid work together.
Verify and update ongoing eligibility so families do not lose coverage.
Help patients resolve insurance issues as they come up.
Manage referrals and patient records in PFA's CRM.
Upload, scan, and transmit documentation securely.
Document every patient interaction in line with HIPAA and internal compliance standards.
Work comfortably on an iPad and iPhone throughout the day.
Represent PFA on-site as the primary contact for hospital staff.
Build working relationships with case managers, social workers, financial counselors, state agency contacts, and community partners.
Protect PFA's reputation inside the health system through how you handle every interaction.

Requirements

High school diploma or GED.
Full Bilingual proficiency in Spanish.
2 or more years in a patient-facing or customer-facing role where you were measured on activity or outcomes.
Comfort working independently on-site with limited daily supervision.
Working proficiency with a CRM or case management system, plus iPad and iPhone.
Ability to pass hospital credentialing, including required vaccinations and drug/alcohol screening.
3 to 5 years in patient-facing roles in a hospital or health system (preferred).
Working knowledge of Medicaid and Medicare eligibility, employer-sponsored coverage, and coordination of benefits (preferred).
Direct HIPP or premium assistance experience, or experience with an eligibility and enrollment vendor (preferred).
Background in patient access, patient financial services, financial counseling, health plan member services, or benefits enrollment (preferred).
Associate's or Bachelor's degree in Social Work, Healthcare Administration, Public Health, or a related field (preferred).
Training in motivational interviewing, trauma-informed care, or medical billing and coding (preferred).
Ability to read and interpret an EOB, a benefits summary, or a medical bill (preferred).

Skills

Persistence
Comfort with rejection
Reading a room
Running your own day without someone assigning your next task
Genuine belief in the program's benefits
Sales skills
Communication
Problem-solving
Documentation
CRM proficiency
iPad and iPhone proficiency
Motivational interviewing (preferred)
Trauma-informed care (preferred)
Medical billing and coding (preferred)
Reading EOBs, benefits summaries, or medical bills (preferred)

Location

New York Presbyterian / Columbia University Irving Medical Center

Work Type

Full-time
Hybrid
On-site

Experience Level

2+ years in patient-facing or customer-facing role measured on activity or outcomes
3-5 years in patient-facing roles in a hospital or health system (preferred)

Education Level

High school diploma or GED
Associate's or Bachelor's degree in Social Work, Healthcare Administration, Public Health, or a related field (preferred)

Salary/Compensations

from USD 65000 - yearly

Benefits

Employer-subsidized medical coverage
Supplemental cost-offset benefit
Dental and vision coverage
Company-paid life and disability insurance effective day one
401(k) retirement program with up to a $2,000 annual match
Flexible spending accounts
Employee Assistance Program
Wellness benefit
Incentive bonus plan

About the Company

Patient Funding Alternatives (PFA) removes barriers for Medicaid-eligible and medically underserved people to get needed care by partnering with hospitals to help patients secure coverage through employer-sponsored insurance.
PFA is the only organization in the U.S. offering a full Premium Assistance Enrollment service with on-site Patient Advocates.
PFA is growing quickly nationwide and values employees who care about patients, offering work/life balance in a culture built on empathy, teamwork, and respect.