Patient Advocate

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

Job summary

Join a dynamic team as a Patient Advocate Representative at a leading healthcare technology company. This remote role involves managing client claims, resolving billing issues, and providing education to clients. Ideal candidates will have healthcare claims experience, strong communication skills, and a proactive approach to problem-solving.

Benefits

Health insurance

401k

Bonuses

Paid time off

Tuition reimbursement

Qualifications

• At least 2 years in healthcare claims handling.
• Knowledge of healthcare claims, billing, and benefit plans.
• State licensure may be required within six months.

Responsibilities

• Manage inquiries, appeals, and balance billing.
• Review and resolve balance bills through negotiation.
• Educate members on the process.

Skills

Negotiation skills

Communication

Multitasking

Detail-oriented

Problem-solving

Bilingual

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

At Claritev, we pride ourselves on being a dynamic team of innovative professionals committed to bending the cost curve in healthcare. Our dedication to service excellence extends to all stakeholders, driving us to exceed expectations. We foster innovation, accountability, diversity, and empower our team to reach their full potential.

Be part of our transformational journey as we aim to become a leading voice in healthcare technology, data, and innovation. Join us!

Patient Advocate Representative

Remote Positions Available

Responsibilities

As a Patient Advocate, you will match incoming client claims to the correct provider using our web-based application. This role can be located anywhere within the Eastern, Central, Mountain, or Pacific time zones. Work schedules are:

• 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 related to balance bills and appeals, providing education and negotiation to resolve balance billing issues.

Duties

• Manage inquiries, appeals, and balance billing for facilities, providers, and members.
• Review and resolve balance bills through negotiation.
• Identify troubled facilities for direct contracting.
• Document claim resolution events clearly.
• Provide updates and gather information from clients.
• Inform your supervisor of critical issues impacting timely responses.
• Prioritize daily claims inventory.
• Address emails and calls promptly.
• Educate members on the process.
• Participate in process improvements for efficiency.
• Collaborate across departments.
• Ensure HIPAA compliance.
• Demonstrate company values and competencies.
• This role is considered high risk due to PHI exposure.

Job Scope

Work independently with minimal supervision, applying experience and established procedures to complex tasks, using industry knowledge to perform duties effectively.

Compensation

The hourly salary ranges from $25 to $30, based on experience, education, location, and internal equity. 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, billing, and benefit plans.
• State licensure (e.g., NY Health or P&C Adjustor) may be required; must obtain within six months if not already licensed.
• Negotiation skills a plus.
• Proactive, organized, flexible, professional.
• Strong communication and multitasking skills.
• Detail-oriented with problem-solving abilities.
• Bilingual preferred.
• Proficient in Microsoft Office and web applications.

Benefits

Competitive packages including medical, dental, vision, life insurance, disability, 401(k), stock purchase, paid time off, tuition reimbursement, and more.

EEO Statement

Claritev is an Equal Opportunity Employer. We consider all qualified applicants 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 the posting date or until the position is filled.