Remote Patient Advocate - Billing and Referrals

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 a Patient Advocate who is independent, personable, and a fast learner. This Elite Advocate will help our patients sort out billing issues, find and schedule referrals, assist with prior authorizations to reduce billing issues, and be an all-around rock star helping us to 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 Premier 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:

1. Personable: We engage and build a relationship with every caller.
2. 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.
3. Self-confident: You will often have to exercise judgment regarding the best approach required to meet our patients’ needs.
4. Service-oriented: We want someone who has a passion for delivering exceptional levels of service.

In addition:

• Love insurance and have a depth of knowledge when it comes to HMOs, PPOs, EMOs, Medicare, Medicaid and other coverage option
• Understands insurance requirements for prior authorizations and serves as a primary resource to clinic staff regarding prior authorization requirements for all services provided
• Works daily queues according to department directives to ensure all payer-specific authorization requirements are met, and authorizations successfully obtained
• Coordinate all information required of the authorization process, ensuring complete, accurate, and timely information collection and entry
• Proactively assist in facilitating the patient referral process to ensure our patients have access to healthcare providers and services.

Requirements

Requirements:

• At least 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
• Certified Professional Billing required; Certified Professional Coder is a bonus
• Access to a remote workspace with high-speed internet and privacy
• Bilingual Spanish/English strongly preferred
• High school diploma or equivalent required; Associate’s degree preferred
• All applicants must live in one of the following states to be considered: Arizona, Colorado, Florida, Illinois, Missouri, Pennsylvania, or Texas.

Pay Range for this position is $18 to $26 an hour.