Patient Navigator, Billing/Benefits Specialist

Summary

Join Amaze Health, a company dedicated to empowering patients, as a Patient Advocate. This role focuses on providing exceptional communication and support to members across various channels (phone, chat, email, etc.). You will work closely with the medical team to ensure members receive the necessary care and information. Success requires being personable, tech-savvy, self-confident, and service-oriented. The position involves claim follow-up, patient follow-up, denial resolution, and acting as a liaison between patients, insurance companies, and medical offices. A minimum of 3 years of experience in financial counseling or insurance follow-up in healthcare is required, along with billing and coding experience. The position offers a competitive hourly rate.

Requirements

• Possess a minimum of 3 years of experience in financial counseling, patient financial services or insurance follow up in a healthcare or health insurance environment in any aspect of the revenue cycle process
• Have a minimum of two (2) years experience providing patient communication, researching, and documenting patient insurance information
• Possess billing and coding experience
• Demonstrate excellent communication and customer service skills with a focus on assisting patients in a healthcare environment
• Have a high school diploma or equivalent
• Have access to a remote workspace with high-speed internet and privacy
• Reside in Arizona, Colorado, Florida, Illinois, Missouri, Ohio, Pennsylvania, or Texas

Responsibilities

• Serve as the primary point of contact for effective claim follow-up, patient follow-up, and denial resolution
• Provide updates on any/all benefits investigations related to the member’s financial responsibility (such as co-pays, co-insurance)
• Function as a patient advocate and liaison between the patient, insurance company and/or medical office(s)
• Persistently work with insurance claims and advocate for the patient
• Demonstrate an advanced understanding of claim needs and accurately perform needed billing activities (Evaluation/Correction of billing edits, claim transmission, rejections, and other claim functions)
• Process insurance/patient correspondence and maintain history to include correspondences between payer, provider and patient within the EMR
• Utilize resourcefulness and high levels of emotional intelligence to identify obstacles and collaborate with others to discuss potential solutions

Preferred Qualifications

• Be bilingual (Spanish/English)
• Possess an Associate degree
• Have a medical billing certificate

Benefits

Hourly pay of $25/hr to $30/hr depending on experience