PATIENT ADVOCATE

Accountabilities: • Manage inbound and outbound communications with patients regarding medical bills, insurance claims, account balances, payments, reimbursements, and related inquiries. • Explain insurance benefits, deductibles, co-pays, co-insurance, and out-of-pocket responsibilities in a clear, professional, and empathetic manner. • Research and resolve billing and balance concerns by reviewing account notes, claim status, payment postings, and payer communications. • Support claim follow-up, appeals, reconsiderations, and patient correspondence while identifying barriers to reimbursement. • Collaborate with Accounts Receivable, Billing, Coding, Credentialing, and Account Management teams to resolve complex patient and payer issues. • Accurately document patient interactions, account activity, follow-ups, and resolutions in designated systems while maintaining high standards of quality and compliance. • Monitor assigned patient communication channels, respond within established SLAs, and complete follow-up, printing, and mailing activities accurately and on time. • Participate in team meetings, quality reviews, training, and continuous improvement initiatives, identifying recurring patient issues and opportunities to improve processes. • Maintain compliance with HIPAA, U.S. healthcare regulations, payer requirements, privacy standards, and internal policies. • Support performance objectives related to productivity, response times, issue resolution, documentation accuracy, patient satisfaction, and overall revenue cycle effectiveness. Requirements: • 3+ years of experience in U.S. healthcare Revenue Cycle Management (RCM), medical billing, accounts receivable, patient services, healthcare operations, or a related field. • Bachelor's degree preferred, or equivalent relevant healthcare revenue cycle experience. • Experience supporting U.S.-based healthcare providers, physician groups, hospitals, healthcare outsourcing organizations, or offshore delivery operations is preferred. • Strong understanding of U.S. healthcare revenue cycle workflows, including eligibility and benefits verification, medical billing, claims, payment posting, accounts receivable, denials, appeals, collections, and patient financial responsibility. • Working knowledge of commercial insurance, Medicare, Medicaid, and managed care plans. • Familiarity with healthcare practice management systems, EMR/EHR platforms, and RCM technologies. • Knowledge of medical terminology and familiarity with CPT, ICD-10, and HCPCS concepts is an advantage. • Experience with denial management, payer follow-up, appeals, and reimbursement processes is preferred. • Exceptional verbal and written English communication skills, with the ability to communicate clearly and professionally with U.S. patients. • Strong customer service, empathy, analytical thinking, problem-solving, and conflict-resolution skills, particularly when handling sensitive financial discussions. • Ability to work independently, manage multiple priorities, meet SLAs, and maintain accuracy in a high-volume environment. • Strong attention to detail, accountability, and commitment to patient privacy and regulatory compliance. • Willingness and ability to work a night shift aligned with U.S. healthcare operations. Benefits: • Remote work opportunity in India. • Full-time employment. • Annual public holidays, as applicable. • 30 days of total leave per calendar year. • Mediclaim / health insurance coverage. • Lifestyle Rewards Program. • Group Term Life Insurance. • Gratuity benefits. • Opportunities for professional learning and development. • A collaborative environment focused on service quality, operational excellence, and employee growth. How Jobgether works: We use an AI-powered matching process to ensure your application is reviewed quickly, objectively, and fairly against the role's core requirements. Our system identifies the top-fitting candidates, and this shortlist is then shared directly with the hiring company. The final decision and next steps (interviews, assessments) are managed by their internal team. We appreciate your interest and wish you the best!  Why Apply Through Jobgether?    Data Privacy Notice: By submitting your application, you acknowledge that Jobgether will process your personal data to evaluate your candidacy and share relevant information with the hiring employer. This processing is based on legitimate interest and pre-contractual measures under applicable data protection laws (including GDPR). You may exercise your rights (access, rectification, erasure, objection) at any time.     #LI-CL1