Patient Advocacy Audit Specialist

This is a fully remote position, open to applicants in Colombia.

📋 Description

• Conduct reviews and audits of the work executed by Patient Advocates.

• Ensure that patient advocacy tasks are carried out accurately, meeting program requirements and client expectations.

• Identify opportunities for revenue recovery and present actionable insights to leadership.

• Examine rejected tasks in MAP to confirm that appropriate rejection codes have been applied.

• Detect errors in rejection codes and report them to the Director of Patient Advocacy.

• Document and monitor quality findings to enhance workflows, tools, and services.

• Create audit finding reports and provide feedback to the Director of Patient Advocacy.

• Engage in calibration sessions to ensure alignment of audit standards.

⛳️ Requirements

• A high school diploma or equivalent is required; an associate's degree or higher is preferred.

• Prior experience in healthcare, patient access, billing, or quality assurance is strongly preferred.

• Familiarity with patient assistance programs, copay support, or pharmaceutical access programs is advantageous.

• Experience with healthcare Electronic Health Records (EHRs) such as EPIC, Cerner, Meditech, or Allscripts is preferred.

• Proficient computer skills with advanced capabilities in Microsoft Office (assessment may be conducted).

• Ability to navigate multiple computer systems and platforms concurrently.

• Basic knowledge of medical terminology is preferred.

• Experience with audit tools, quality tracking systems, or case management platforms is a plus.

• Exceptional attention to detail with a keen eye for errors and inconsistencies.

• Strong analytical and critical thinking abilities.

• Clear written and verbal communication skills for documenting and reporting findings.

• Capacity to work independently with minimal supervision in a remote setting.

• Organizational discipline and the ability to manage a high volume of audit cases.

• Flexibility to adapt to changing workflows, program alterations, and shifting priorities.

🏝️ Benefits

• Health insurance.

• Flexible work arrangements.

• Professional development opportunities.