Patient Advocate

Claritev; United States; Remote; USD 10,000 - 60,000; Full time

Job summary

Join a leading healthcare technology company as a Patient Advocate Representative. This remote role involves managing client claims, inquiries, and billing while ensuring compliance with regulations. Ideal candidates are proactive, detail-oriented, and possess strong communication skills. Competitive benefits and a supportive work environment await you!

Benefits

Health insurance

401k

Paid parental leave

Tuition reimbursement

Paid time off

Qualifications

• At least 2 years in healthcare claims handling.
• Knowledge of healthcare claims and provider billing.
• Ability to handle high call volume and multitask effectively.

Responsibilities

• Manage inquiries, appeals, and balance billing.
• Review and resolve balance bills through negotiations.
• Ensure compliance with HIPAA regulations.

Skills

Negotiation skills

Excellent communication skills

Proactive

Organized

Detail-oriented

Bilingual skills

Education

High school diploma

BA/BS preferred

Tools

Microsoft Office

Web applications

Job description

Join to apply for the Patient Advocate Representative role at Claritev.

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At Claritev, we pride ourselves on being a dynamic team of innovative professionals. Our purpose is simple - we strive to bend the cost curve in healthcare for all. Our dedication to service excellence extends to all our stakeholders - internal and external - driving us to consistently exceed expectations. We are intentionally bold, foster innovation, nurture accountability, champion diversity, and empower each other to illuminate our collective potential.

Be part of our transformational journey as we optimize opportunities to become a leading voice in healthcare technology, data, and innovation. Onward and Upward!

Patient Advocate Representative

Remote Positions Available

Responsibilities

As a Patient Advocate, you will match the daily volume of incoming client claims to the correct provider using an in-house web-based application. Work schedules are as follows:

• 5:00 am to 2:00 pm PT
• 6:00 am to 3:00 pm MT
• 7:00 am to 4:00 pm CT
• 8:00 am to 5:00 pm ET

Job Summary

This role handles member, client, and provider inquiries (balance bills and appeals), focusing on balance billing situations, education, and negotiations.

Duties

• Manage inquiries, appeals, and balance billing for facilities, providers, and members.
• Review and resolve balance bills and appeals through negotiations.
• Identify troubled facilities for potential direct contracting.
• Document events related to claim resolution clearly.
• Update and gather information from clients as needed.
• Keep your supervisor informed of critical matters.
• Prioritize claims and manage daily workflow.
• Address emails and calls promptly.
• Participate in process improvements.
• Collaborate across departments.
• Ensure compliance with HIPAA regulations.
• Demonstrate company values and competencies.
• This is a High Risk Role due to exposure to PHI data.

Work independently with minimal supervision, following established procedures, and leveraging industry knowledge.

Compensation

The hourly salary ranges from $25 to $30, based on experience, education, and location. Benefits include health insurance, 401k, and bonuses.

Requirements

• High school diploma required; BA/BS preferred.
• At least 2 years in healthcare claims handling.
• Knowledge of healthcare claims, provider billing, and benefit plans.
• State licensure (e.g., NY Health or P&C Adjustor) may be required; must be obtained within six months if not already licensed.
• Negotiation skills a plus.
• Proactive, organized, flexible, professional, and detail-oriented.
• Excellent communication skills, both written and oral.
• Ability to handle high call volume and multitask effectively.
• Knowledge of claim editing, coding, RVU, CMS pricing preferred.
• Bilingual skills preferred.
• Proficient with Microsoft Office and web applications.
• Ability to work in an office environment, sitting and viewing monitors for extended periods.

Benefits

Competitive benefits including medical, dental, vision, life insurance, disability, paid parental leave, 401(k) with match, stock purchase plan, paid time off, holidays, tuition reimbursement, FSA, EAP, and sick leave.

EEO Statement

Claritev is an Equal Opportunity Employer. All qualified applicants will receive consideration without regard to age, race, color, religion, gender, sexual orientation, gender identity, national origin, disability, or veteran status.

Application Deadline

Applications are accepted for at least 5 days from posting or until the position is filled.