Patient Advocate - Boston, MA
Patient Advocate Specialist
Boston, MA
ChasmTeam is partnering with a growing national company to build a team that provides real benefits to patients! We are seeking hard-working, self-starters who enjoy a challenge as we work together to help patients. The Patient Advocate plays a critical role in identifying, educating, and enrolling eligible hospital patients into the Health Insurance Premium Payment (HIPP) Program . You'll clearly explain program details, gather required documentation, and serve as a compassionate, professional advocate throughout each step of the enrollment process.
This role demands mission-driven advocacy , proactive problem-solving , empathetic communication , and resilience —all while balancing compassion with an urgency to ensure patients receive timely support. By facilitating employer-sponsored health insurance coverage, the Patient Helper Program helps medically complex Medicaid beneficiaries access comprehensive care.
We’re looking for driven individuals with a “can-do” spirit, unwavering perseverance, and the capacity to support diverse patient populations navigating complex healthcare systems.
Key Responsibilities
Patient Engagement & Advocacy
- Educate patients and families in a clear, compassionate, and culturally sensitive manner about the HIPP program.
- Assess family dynamics and adapt communication style to effectively meet their needs.
- Obtain necessary authorizations and documentation from patients/families.
- Foster trust with patients while maintaining appropriate professional boundaries.
- Demonstrate cultural competence and empathy when engaging with vulnerable populations.
HIPP Enrollment & Case Management
- Accurately collect all essential data for HIPP applications (e.g., employer information, insurance details).
- Employ proactive problem-solving to overcome barriers and ensure timely, accurate submissions.
- Collaborate seamlessly with the Patient Financial Assistance team to finalize enrollments.
- Consistently deliver against performance metrics such as enrollments completed, case resolution time, and documentation accuracy.
Program Maintenance & Benefit Coordination
- Clarify how employer-provided health insurance works in coordination with Medicaid.
- Verify and update ongoing patient eligibility for HIPP to maintain continuity.
- Assist with resolving insurance-related issues upon request from patients or clients.
Technology & Documentation
- Utilize CRM/case management system to manage referrals and patient records.
- Upload, scan, and securely transmit required documentation.
- Record patient interactions meticulously in compliance with privacy and legal standards.
- Efficiently operate Apple tools such as iPads and iPhones for enrollment-related tasks.
Client & Hospital Relationship Management
- Represent the organization as the on-site contact at the hospital.
- Establish and maintain collaborative relationships with hospital staff, state agency personnel, and community partners.
- Always uphold the organization’s values with ethical integrity and professionalism.
Required Qualifications
- High school diploma or GED and completion of formal training in customer service, patient services, healthcare administration, social services, or case management.
- Foundational knowledge of healthcare terminology and insurance processes gained via coursework or certification.
- Ability to pass hospital credentialing, including vaccinations and drug/alcohol screening.
Preferred Qualifications
- Associate’s or Bachelor’s degree in Social Work, Healthcare Administration, Public Health, or related field.
- Training in motivational interviewing, trauma-informed care, or medical billing/coding.
- Continuing education in Medicaid/Medicare eligibility, health equity, or patient advocacy.
- Three to five years’ experience in patient-facing roles within a healthcare setting.
- Full Bilingual proficiency in Spanish is strongly preferred.
Core Skills & Competencies
Technical Skills-Preferred
- Proficiency with CRM or case management systems.
- Knowledge of Medicaid/Medicare eligibility and benefits coordination.
- Ability to interpret medical billing and insurance documents.
- Strong compliance-based documentation practices.
Interpersonal Skills
- Active listening and empathetic communication.
- De-escalation tactics for emotionally distressed patients.
- Cultural awareness and sensitivity in communication.
- Collaboration with cross-functional teams, including hospital and internal staff.
Key Traits for Success
- Mission-Driven Advocacy – Consistently puts patient needs first.
- Ego Resilience – Thrives amid adversity and changing demands.
- Empathy – Provides compassionate support while ensuring professionalism.
- Urgency – Balances speed and sensitivity in patient interactions.
- Detail Orientation – Ensures accuracy and completeness in documentation.
- Cultural Competence – Demonstrates respect and understanding of diverse experiences.
- Adaptability – Successfully operates in evolving policy and procedural environments.
Why Join Us?
As a Patient Advocate , you’ll make a real difference—helping patients navigate complex health and insurance systems, securing critical benefits, and enabling focus on healing and well-being. Join a mission-driven, supportive team where your work matters and your growth is encouraged. Full benefits offered, including Health, Dental, Vision, 401(k) with company match, STD/LTD, Life Insurance, and more.
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