NY Licensed Patient Advocate

Job Summary

A company is looking for a Patient Advocate Representative.

Key Responsibilities

• Manage inquiries, appeals, and balance billing for members, clients, and providers
• Review and negotiate balance bills and appeals with providers
• Document claim resolutions and ensure compliance with HIPAA regulations

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 and ability to interpret benefit plans
• State licensure certification may be required
• Negotiation experience is a plus