Patient Navigator - Denials/Medical Appeals Specialist

Healthcare in the U.S. is an ever-changing maze filled with confusion and complexity. Amaze Health is a company dedicated to empowering our patients with all the tools, resources, and medical support they need to take charge of their own healthcare. We don’t just take care of people, we partner with them. Join our innovative team as we change healthcare in America, one patient at a time.

We are looking for an independent, personable, fast learner to help us provide the best possible experience for every one of our members, every single time.

The primary responsibility of this role is communication. We strive to ensure that every member connects with a live person when they need us. We don’t make our customers navigate a phone queue or wait on hold. As a Patient Advocate, you will interact with our members across all communication channels (phone, chat, email, messaging, and our online portal). You will work closely with our medical team to ensure our members get the care they require and the information they need to make the best healthcare decisions for themselves and their families.

There are four important characteristics to be successful in this role. We are looking for someone who is:

1. Personable. We engage and build a relationship with every caller.
2. Tech savvy. A high comfort level with technology is crucial. We are frequently evolving our platforms, and we use multiple Microsoft Office programs. You will need an intermediate level of proficiency with PC-based productivity and
collaboration applications.
3. Self-confident. You will often have to exercise judgment regarding the best approach required to meet our patients’ needs.
4. Service-oriented. We want someone who has a passion for delivering exceptional levels of service.

In addition:

• 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)
• Works as a patient advocate and functions as a liaison between the patient, insurance company and/or medical office(s).
• Love the challenge of persistently working with insurance claims and advocating for the patient
• Demonstrates advanced understanding of claim needs and ability to accurately perform needed billing activities (Evaluation/Correction of billing edits, claim transmission, rejections, and other claim functions)
• Processes insurance/patient correspondence and maintains history to include correspondences between payer, provider and patient within the EMR.
• Resourcefulness and high levels of emotional intelligence to identify obstacles and collaborate with others to discuss potential solutions
• Access to a remote workspace with high-speed internet and privacy.

• Minimum 3 years 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 required.
• Minimum two (2) years experience providing patient communication, researching, and documenting patient insurance information
• Billing and coding experience required; medical billing certificate preferred
• Excellent communication and customer service skills with a focus on assisting patients in a healthcare environment
• Bilingual Spanish/English - preferred
• High school diploma or equivalent required. Associate degree preferred.

Position pays $25/hr to $30/hr depending on experience.

Candidates must reside in one of the following states to be considered for this position: Arizona, Colorado, Florida, Illinois, Missouri, Pennsylvania or Texas.