NY Licensed Patient Advocate

Job Summary

A company is looking for a Patient Advocate Representative.

Key Responsibilities

• Manage facility, provider, and member inquiries, appeals, and balance billing
• Review and resolve balance bills and appeals through negotiations with providers
• Ensure compliance with HIPAA regulations and maintain clear documentation of claims

Required Qualifications

• Minimum high school diploma; BA/BS preferred
• Two or more years of experience in a medical healthcare claims role
• Background in healthcare claims management, including provider billing and claims adjudication
• Proactive, self-starter with strong organizational skills
• Ability to work in a fast-paced environment and manage high call volume