Patient Advocate Specialist (Hybrid, bilingual Spanish) - Cohen Children's Medical Center
Patient Funding Alternatives · Hillside Manor, NY, US
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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 is a full-time hybrid role requiring 2-3 days per week onsite at Cohen Children's Medical Center, where you will serve as PFA's representative.
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 necessary authorizations and documentation to advance an application.
- Build trust with patients while maintaining professional boundaries.
- Collect complete and accurate application data, including employer details, plan information, premium costs, and dependent information.
- Solve problems that stall a case, such as unresponsive employers, missing paperwork, and eligibility questions.
- Hand off cases cleanly to PFA's State Operations and Benefit & Advocacy teams for submission, approval, and post-enrollment support.
- Own the caseload from first contact to enrollment.
- Explain how employer coverage and Medicaid work together.
- Verify and update ongoing eligibility to prevent loss of coverage.
- Assist patients in resolving insurance issues as they arise.
- Manage referrals and patient records in PFA's CRM.
- Upload, scan, and securely transmit documentation.
- Document every patient interaction in compliance with HIPAA and internal 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 within the health system through professional interactions.
Requirements
- High school diploma or GED.
- Full Bilingual proficiency in Spanish.
- 2 or more years in a patient-facing or customer-facing role measured on activity or outcomes (healthcare settings preferred; retention, enrollment, collections, member services, and inside sales backgrounds are transferable).
- 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.
Skills
- Persistence
- Comfort with rejection
- Reading a room
- Running your own day
- Sales skills
- Communication adaptability
- Problem-solving
- Documentation management
- CRM proficiency
- iPad and iPhone proficiency
- Interpersonal skills
- Motivational interviewing (preferred)
- Trauma-informed care (preferred)
- Medical billing and coding (preferred)
- Reading and interpreting EOBs, benefits summaries, or medical bills (preferred)
Location
- Cohen Children's Medical Center
- On-site
Work Type
- Full-time
- Hybrid
Experience Level
- 2+ years in a patient-facing or customer-facing role
- 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
- Incentive bonus plan tied to enrollment performance
Benefits
- Employer-subsidized medical coverage
- Supplemental cost-offset benefit for medical expenses
- Dental coverage
- Vision coverage
- Company-paid life insurance (effective day one)
- Company-paid 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
About the Company
- Patient Funding Alternatives (PFA) removes barriers for Medicaid-eligible and medically underserved individuals seeking 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, promoting a culture of empathy, teamwork, and respect with a focus on work/life balance.