Patient Advocate I

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

📋 Description

• Handle incoming phone calls from patients, insurance providers, physician offices, and medical facilities.

• Address inquiries and complaints related to billing, claims, claim denials, payments, and collection efforts.

• Document customer interactions, resolutions, and referral actions.

• Resolve questions directly when feasible.

• Respond to written inquiries and communicate any delays in resolution.

• Clearly explain account situations in an accurate and straightforward manner.

• Complete assigned tasks promptly.

• Participate in in-service training and keep updated with changes in contracts and procedures.

• Identify and report complaint trends to management.

• Uphold strict confidentiality standards.

• Record all actions in system notes.

• Deliver courteous, personalized service while achieving customer satisfaction and productivity goals.

• Adhere to company policies and procedures.

• Undertake additional duties as required.

⛳️ Requirements

• High school diploma or equivalent is required.

• An associate’s degree in health or business administration, or a related discipline is preferred.

• A combination of relevant education and experience will be considered.

• A minimum of 1 year of experience in customer service or billing collections is preferred.

• Experience in a healthcare setting is preferred.

• Bilingual skills in English and Spanish are preferred.

• Exceptional verbal and written communication skills in English.

• Strong mathematical abilities, including charge, payment, and adjustment calculations.

• Familiarity with insurance processing, guidelines, and relevant laws for all payers.

• Proficiency in using the IDX practice management system is essential.

• Excellent customer service abilities.

• Capability to effectively manage multiple tasks.

• Data entry proficiency.

• Basic understanding of CPT, ICD-9, and ASA codes.

• Strong problem-solving and decision-making capabilities.

• Robust analytical skills.

• Ability to work efficiently and independently with minimal supervision.

• Commitment to maintaining confidentiality.

• Willingness and capability to adhere to directions and company policies.

• Must reside in the United States, excluding California, Hawaii, and Alaska.

🏝️ Benefits

• Eligibility for quarterly bonuses (not guaranteed; contingent on company and individual performance).

• Reasonable accommodations available for individuals with disabilities.

• Equal employment opportunities offered.