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Patient Advocate

Advanced Medical Pricing Solutions

Patient Advocate

Norcross, GA
Full Time
Paid
  • Responsibilities

    Patient Advocate Advanced Medical Pricing Solutions - Peachtree Corners, GA $38,000 - $41,000 a year Reports to Patient Advocacy Manager Job Description: This role aids members, patients, and providers with balanced bills, appeals, and variety of questions by phone, fax, email, and mail. The Patient Advocate coordinates numerous daily, time-sensitive functions required to maintain an efficient workflow and direct all matters to a proper resolution. Advanced Medical Pricing Solutions (AMPS) provides market leading healthcare cost containment services for self-funded employers, public entities, brokers, TPAs, payers and many other entities. As we continue to grow, we look for driven professionals who share our core values. We take a one team approach to keeping clients satisfied and engaged with our products and services for the long-term. Essential Job Duties: * Maintain HIPAA guidelines to ensure the confidentiality of all calls and documents * Run and disburse daily welcome letters to introduce the patient AMPS advocacy team * Conduct daily welcome calls to members and patients * Review and verify Balance Bills using provider billing statements and the Explanation of Benefits * Prepare and file correspondence regarding challenges to the Plans reimbursement * Assist and support members with questions regarding the FCBA dispute process * Upload incoming emails, faxes and mail into the system for proper handling * Respond to incoming correspondence received via email, fax, mail and phone within 24-48 hours * Maintain contact with facilities, professionals, EBOs and debt collectors to assist with the resolution of open advocacy matters * Provide exceptional customer service for incoming calls throughout the shift * Document all daily interactions completely and accurately * Complete a minimum of 40-50 interactions per shift * Act as liaison with TPA partners, employer groups, and brokers as needed to assist and resolve open advocacy matters * Propose process improvements to enhance member satisfaction * Escalate advocacy or other complaints per written guidelines * Update all members with an open advocacy matter every 30 45 days Education/Experience: * Minimum of 2 years of experience in the healthcare industry with patient advocacy, customer service or claims experience required * Higher education degree or vocational technical school in healthcare required * Experience in handling multi-line telecommunication systems and electronic documentation software * Medical Billing and Medical Coding experience preferred Qualifications:

    • Skills to include: exceptional customer service, attention to detail, strong written and verbal communication, active listener, strong organizational and problem-solving skills * Bilingual in Polish, Portuguese or Spanish is a plus * Ability to work independently within a team environment * Ability to respect and maintain confidentiality and follow HIPAA guidelines Job Type: Full-time Salary: $38,000.00 to $41,000.00 /year Experience: * Medical Billing and Medical Coding: 1 year * heatlhcare industry: 2 years * multi-line telecommunication systems and electronic document: 1 year Education: * Associate 6 hours ago - save job
  • Industry
    Hospital and Health Care