Client Reimbursement Advocate
Job Summary
Advocating for clients and members, the full-time Client Reimbursement Advocate will work remotely to negotiate and resolve disputes with providers regarding medical claims, ensuring fair access to care while minimizing balance billing and denials.
Key responsibilities
- Contact providers to negotiate single case agreements and determine actions to settle medical claims
- Monitor and maintain the negotiation queue, tracking all communications related to claims and settlements
- Build sustainable relationships with clients and escalate claims for management review when necessary
Required qualifications
- Bachelor's degree preferred
- Minimum 1 year of experience in healthcare, health insurance, or customer service
- Experience with negotiations is preferred
- Knowledge of CMS1500 and UB04 Medical Claim Forms and medical coding is desired
- Proficiency in Microsoft Office products
Complete Job Description
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