Patient Advocate Specialist

Gastro Health; Miami (FL); On-site; USD 38,000 - 52,000; Full time

Job summary

Gastro Health seeks a Patient Advocate Specialist to review patient balances and address billing inquiries from care center staff or patients. The role focuses on ensuring accurate billing and clear communication.

Responsibilities include resolving billing issues via Smartsheet or collections queue, posting self-pay adjustments, making/receiving calls, maintaining claim codes, and monitoring payment plans. Healthcare billing experience is a strong plus.

Qualifications

• 1 year of related experience in healthcare billing or similar.
• Experience in a healthcare environment or healthcare claims is a strong plus.
• Bachelor's degree preferred, but not required.

Responsibilities

• Review patient balances to ensure accurate billing and respond to questions from care center staff or patients.
• Resolve patient billing issues via Smartsheet or patient collections queue; post self-pay adjustments.
• Make and receive patient phone calls; maintain proper claim collection codes; monitor patient payment plans; respond to disputes.

Skills

Healthcare billing knowledge

Medical terminology knowledge

Education

Bachelor's degree preferred

Job description

About Gastro Health:

Gastro Health is an extensive and diverse group of professionals dedicated to digestive and liver health. Now with more than 120 locations in seven states, our team of physicians, advanced practice providers, nutritionists, technicians, and support team are on a mission to provide outstanding medical care and an exceptional healthcare experience.

Position Summary:

The Patient Advocate Specialist will review patient balances to ensure accurate billing and to address any concerns or questions posed by care center staff or patients relating to those billed balances.

Essential Functions include but are not limited to the following:

• Production: Meets Quantity (100%) and Quality Required Benchmark (90% - To be evaluated through audits)
• Able to effectively complete Patient Advocate tasks which include resolve patient billing issues received via Smartsheet or a patient collections queue, posting self-pay adjustments, making and receiving patient phone calls, maintaining proper claim collection codes, monitoring patient payment plans and replying to TSI disputes.

Job Specifications/Qualifications

• 1 year of related experience, or any combination of education or experience that provides the required knowledge, skills and abilities to perform the job.
• Experience in a healthcare environment or a healthcare claims environment is a strong plus.
• Bachelor's degree preferred, but not required.

Required Skills And Abilities

• Knowledge of medical terminology utilized in medical collections and billing (CPT, ICD-9, HCPCS)

Why You'll Thrive at Gastro Health

We look for team members who embody our values of Compassion, Collaboration, Integrity, Accountability, Empowerment, Continuous Improvement, Positive Attitude, and Customer Focus. These values guide how we care for our patients, support one another, and deliver exceptional healthcare every day.

Physical Requirements And Working Conditions

• Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential functions of the position.
• Primarily performed in an office environment with moderate noise levels.
• Frequent sitting, standing, walking, bending, reaching, computer use, and communication.
• Occasional lifting up to 10 lbs., pushing/pulling, and climbing stairs.
• Frequent interaction with staff, managers, patients, families/caregivers, providers, vendors, and other business partners.
• May require occasional weekends, holidays, or varying shifts based on business needs.

Communication Requirements

• Ability to effectively read, write, speak, and understand English to safely perform the essential functions of the position.

Equal Opportunity Employer

This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.