Patient Advocate

Role Overview

We are seeking a Patient Advocate to support patient billing operations, focusing on account resolution, escalation handling, and patient interaction. This role is critical in ensuring accurate patient balances, resolving discrepancies, and improving the patient financial experience.

There is strong opportunity for growth into senior and leadership roles as the team continues to scale.

Position Details

• Location: Remote (EST hours only)
• Schedule: Flexible within 8:00 AM – 5:00 PM EST (based on lunch preference)
• Contract: Contract-to-hire
• Pay Rate: $19-20/hr

Key Responsibilities

• Manage patient billing accounts, including self-pay balances and third-party vendor discrepancies.
• Review and resolve mismatched balances (credits vs. debits across accounts).
• Support escalations requiring detailed research and resolution.
• Interpret EOBs (Explanation of Benefits) and communicate findings clearly to patients.
• Work with insurance payors (Medicare, Medicaid, BCBS, commercial plans).
• Collaborate with internal patient advocacy and billing teams on complex cases.
• Assist with posting discounts, adjustments, and corrections for patient accounts.
• Handle inbound/outbound patient calls and provide high-quality customer service.
• Work claims within AR (Accounts Receivable) and support resolution workflows.
• Use smart sheets / reporting tools to track assigned accounts and progress.
• Work an average volume of ~45 accounts/day depending on complexity.

Required Qualifications

• 4 years of healthcare patient billing experience (not coding-focused).
• Strong understanding of:
  • Patient billing and insurance processes.
  • EOB interpretation.
  • Deductibles, co-insurance, and patient responsibility.
• Experience working AR claims and resolving denied or escalated accounts.
• Previous patient-facing experience (phone-based preferred).
• Experience working with major payors (Medicare, Medicaid, Blue Cross, etc.).
• Familiarity with physician billing and outpatient services.
• Experience using EMRs (eClinicalWorks strongly preferred).

Preferred Skills

• Experience handling escalations or complex billing cases.
• High-volume environment experience.
• Strong attention to detail and problem-solving skills.