New York 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; a bachelor's degree preferred
• Two or more years of experience in a medical healthcare claims role
• Background in healthcare claims management and ability to interpret benefit plans
• Negotiation experience is a plus
• State licensure certification may be required within six months of hire