Patient Navigator - Billing/Benefits 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:

• Serve as the primary contact for efficient follow-up on claims, patient inquiries, and resolution of denials.
• Provide updates concerning any investigations into benefits related to the member's financial obligations, including co-pays and co-insurance.
• Act as a patient advocate, bridging communications between patients, insurance companies, and medical offices.
• Enjoy the challenge of persistently engaging with insurance claims while advocating for patients.
• Exhibit a deep understanding of claim requirements and demonstrate the ability to execute essential billing processes, including evaluation and correction of billing edits, claim submission, rejections, and other related functions.
• Handle insurance and patient correspondence, maintaining a comprehensive history that includes communications between payers, providers, and patients within the EMR.
• Possess resourcefulness and a high level of emotional intelligence to identify challenges and work collaboratively with others to explore potential solutions.

Requirements

• Minimum three (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 to include denials and appeals
• 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 $35/hr depending on experience.

This is an in office position. Amaze is located in the DTC at Bellview and I25.

Qualification

High School or equivalent