Patient Billing & Denials Advocate (On-site, Draper)

Forward Health LLC; Draper (UT); On-site; USD 42,000 - 52,000; Full time

Job summary

Forward Health LLC in Draper, UT is seeking a full-time RCM Patient Communications Specialist to manage escalated patient billing scenarios and provide updates on billing inquiries for E&M and DME services.

The role requires coordinating with insurance payers to resolve denials, preparing appeals, and ensuring charges align with care delivered. On-site position, strong communication and empathy are essential.

Qualifications

• High school diploma or equivalent; Associate's degree preferred.
• 1+ years of experience in medical billing, patient collections, or healthcare customer service.
• Strong verbal communication and conflict-resolution skills.
• Ability to explain complex billing information in a clear, patient-friendly manner.
• Comfortable working with insurance payers on denials and appeals.
• Ability to manage and resolve escalated cases in a timely, organized manner.
• Must be able to work on-site in Draper, UT.

Responsibilities

• Handle escalated patient billing scenarios and outbound outreach to provide updates on billing inquiries.
• Return patient calls regarding balances, statements, and billing disputes, resolving them promptly.
• De-escalate frustrated or confused patients with active listening and empathy.
• Explain charges, insurance adjustments, and balances in plain language.
• Collect patient cost share (copays, coinsurance, deductibles) for claims.
• Document all patient interactions and resolutions in the appropriate system(s).
• Identify recurring issues and report them to leadership.

Skills

Verbal communication

Conflict resolution

Empathy

Attention to detail

Time management

Team collaboration

Problem solving

Education

High school diploma or equivalent

Associate's degree preferred

Tools

Salesforce

NikoHealth

athenaOne

Job description

Forward Health LLC in Draper, UT is seeking a full-time RCM Patient Communications Specialist to manage escalated patient billing scenarios and provide updates on billing inquiries for E&M and DME services.

The role requires coordinating with insurance payers to resolve denials, preparing appeals, and ensuring charges align with care delivered. On-site position, strong communication and empathy are essential.