Patient Intake Advocate

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

Job summary

Join a forward-thinking company as a Patient Intake Advocate, where you will play a crucial role in addressing member inquiries and educating clients about the Patient Advocacy Center process. This position offers the opportunity to work in a dynamic environment, collaborating with a dedicated team to ensure exceptional service and compliance with healthcare regulations. With flexible work schedules across various time zones, you will manage inquiries, document claims, and contribute to a culture of accountability and innovation. If you're passionate about making a difference in healthcare, this role is for you!

Benefits

Health Insurance

401(k)

Bonus Opportunities

Qualifications

• Experience in customer service roles, preferably in healthcare.
• Strong communication skills for member education and inquiries.

Responsibilities

• Manage phone inquiries and ensure prompt responses to members.
• Document medical claims and maintain compliance with regulations.

Skills

Customer Service

Communication Skills

HIPAA Compliance

Data Entry

Education

High School Diploma

Associate's Degree

Job description

Patient Intake Advocate

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, we foster innovation, we nurture accountability, we champion diversity, and empower each other to illuminate our collective potential.

Be part of our transformational journey as we work towards becoming a leading voice in healthcare technology, data, and innovation. Onward and Upward!

JOB SUMMARY

This role is responsible for addressing member, client, and provider inquiries (balance bills and appeals), with an emphasis on educating members of the Patient Advocacy Center process.

As a Patient Intake Advocate, you will match the daily volume of incoming client claims to the correct provider using an in-house web-based application. This position may be located anywhere in the Eastern, Central, Mountain, or Pacific time zones. Work schedules are as follows:

• 8:00 am to 5:00 pm PT
• 9:00 am to 6:00 pm MT
• 10:00 am to 7:00 pm CT
• 11:00 am to 8:00 pm ET

DUTIES

1. Manages main phone line and answers all inquiries.
2. Ensures member inquiries are addressed promptly, including education.
3. Documents events related to medical claims clearly.
4. Maintains a daily inventory of claims, prioritizing tasks accordingly.
5. Responds to emails, calls, and inquiries, directing them to appropriate parties.
6. Receives, reviews, and forwards incoming mail.
7. Sends letters to members, records contact info, and requests documents as needed.
8. Informs the Lead Patient Advocate of critical matters.
9. Maintains a clean, safe, and unobstructed work environment.
10. Ensures compliance with HIPAA regulations.
11. Demonstrates commitment to the company's core values.
12. This role involves exposure to PHI-sensitive data and is considered high risk.
13. Other duties and responsibilities may be assigned as necessary.

JOB SCOPE

This position works under direct supervision in a results-oriented manner, within established standards and procedures. The incumbent relies on training and experience to complete responsibilities, which may be varied and complex. Regular contact with internal and external stakeholders is expected to meet customer needs when making decisions and taking actions.

COMPENSATION

The salary range is $18.25 per hour. Offers depend on education, experience, skills, location, and internal equity. Benefits include health insurance, 401(k), and bonus opportunities.