Patient Navigator - Billing/Benefits Specialist

Amaze Health; Denver (CO); On-site; USD 80,000 - 100,000; Full time

Job summary

Join a forward-thinking company dedicated to transforming healthcare in America. As a Patient Advocate, you will be at the forefront of patient communication, ensuring members receive the support they need across various channels. This role requires a personable and tech-savvy individual who thrives on delivering exceptional service. You will engage with patients, navigate complex insurance claims, and collaborate with medical teams to foster a supportive healthcare environment. If you are passionate about making a difference and have the skills to advocate for patients, this is the perfect opportunity for you.

Qualifications

• 3+ years in financial counseling or patient financial services.
• Experience in patient communication and insurance follow-up.
• Billing and coding experience required.

Responsibilities

• Serve as primary contact for claims and patient inquiries.
• Act as a patient advocate between patients and insurance.
• Maintain comprehensive communication history in EMR.

Skills

Patient Advocacy

Communication Skills

Financial Counseling

Bilingual (Spanish/English)

Customer Service

Emotional Intelligence

Education

High School Diploma

Associate Degree

Tools

Microsoft Office

EMR Software

Job description

4 weeks ago Be among the first 25 applicants

Healthcare in the U.S. is an ever-changing maze filled with confusion and complexity. Amaze Health is a company dedicated to empowering our patients with all the tools, resources, and medical support they need to take charge of their own healthcare. We don't just take care of people, we partner with them. Join our innovative team as we change healthcare in America, one patient at a time.

We are looking for an independent, personable, fast learner to help us provide the best possible experience for every one of our members, every single time.

The primary responsibility of this role is communication. We strive to ensure that every member connects with a live person when they need us. We don't make our customers navigate a phone queue or wait on hold. As a Patient Advocate, you will interact with our members across all communication channels (phone, chat, email, messaging, and our online portal). You will work closely with our medical team to ensure our members get the care they require and the information they need to make the best healthcare decisions for themselves and their families.

There are four important characteristics to be successful in this role. We are looking for someone who is:

• Personable. We engage and build a relationship with every caller
• Tech savvy. A high comfort level with technology is crucial. We are frequently evolving our platforms, and we use multiple Microsoft Office programs. You will need an intermediate level of proficiency with PC-based productivity and
  
  

collaboration applications.

• Self-confident. You will often have to exercise judgment regarding the best approach required to meet our patients' needs
• Service-oriented. We want someone who has a passion for delivering exceptional levels of service
  
  

In addition:

• Serve as the primary contact for efficient follow-up on claims, patient inquiries, and resolution of denials
• Provide updates concerning any investigations into benefits related to the member's financial obligations, including co-pays and co-insurance
• Act as a patient advocate, bridging communications between patients, insurance companies, and medical offices
• Enjoy the challenge of persistently engaging with insurance claims while advocating for patients
• Exhibit a deep understanding of claim requirements and demonstrate the ability to execute essential billing processes, including evaluation and correction of billing edits, claim submission, rejections, and other related functions
• Handle insurance and patient correspondence, maintaining a comprehensive history that includes communications between payers, providers, and patients within the EMR
• Possess resourcefulness and a high level of emotional intelligence to identify challenges and work collaboratively with others to explore potential solutions
  
  
  

Requirements

• Minimum three (3) years experience in financial counseling, patient financial services or insurance follow up in a healthcare or health insurance environment in any aspect of the revenue cycle process required
• Minimum two (2) years experience providing patient communication, researching, and documenting patient insurance information to include denials and appeals
• Billing and coding experience required; medical billing certificate preferred
• Excellent communication and customer service skills with a focus on assisting patients in a healthcare environment
• Bilingual Spanish/English - preferred
• High school diploma or equivalent required. Associate degree preferred
  
  

Position pays $25/hr to $35/hr depending on experience.

This is an in office position. Amaze is located in the DTC at Bellview and I25.

Seniority level

• Seniority level

  Associate

Employment type

• Employment type

  Full-time

Job function

• Job function

  Administrative

• Industries

  IT Services and IT Consulting

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