Healthcare Advocate
Core
Resolve complex medical billing and insurance cases end-to-end, advocating for users to correct claim denials, billing errors, and coverage issues.
Role type
Senior Healthcare Advocate (Patient Advocacy & Claims Resolution)
Builds
User outcomes in healthcare billing disputes and insurance coverage navigation
Domain
Healthcare / Health Insurance / Medical Billing
Deliverable
client delivery
Required skills
Medical billing expertise, Insurance claims resolution, Provider communication, EOB interpretation, Healthcare regulations knowledge, Complex problem solving, Written communication, Process improvement
Preferred skills
CPT/HCPCS/ICD-10 coding knowledge, Early-stage startup experience
Responsibilities
Contact providers and insurers to verify coverage and correct billing issues, Investigate and triage issues across benefits, eligibility, claims, and prior authorization, Advocate for users by pushing cases forward with persistence and strong documentation, Communicate clearly with users to set expectations and explain options, Maintain high-quality case notes, Partner with Product and Engineering to turn case patterns into product improvements