Patient Advocacy Audit Specialist, HealthTech

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

📋 Description

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

• Ensure that tasks are completed with accuracy and in accordance with program requirements and client expectations.

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

• Assist the Patient Advocacy team with quality control functions.

• Daily review of rejected tasks in MAP.

• Confirm that the appropriate rejection code was assigned for each rejected task.

• Detect errors in rejection codes where the underlying enrollment, order, or claim is still actionable.

• Document and track quality findings to help identify opportunities for enhancing patient advocacy workflows, tools, and services.

• Prepare reports on audit findings and provide structured feedback to the Director of Patient Advocacy.

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

⛳️ Requirements

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

• Previous experience in a healthcare, patient access, billing, or quality assurance setting 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 (an assessment may be administered).

• Ability to navigate multiple computer systems and platforms concurrently.

• Basic understanding 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 discrepancies.

• Strong analytical and critical thinking abilities.

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

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

• Strong organizational skills and the ability to manage a high volume of audit cases.

• Flexibility to adjust to changing workflows, program modifications, and shifting priorities.

🏝️ Benefits

• Contact us to learn more about the benefits we offer.