Overview
Patient Advocate (US Healthcare RCM) serves as a liaison between patients, healthcare providers, insurance payers, and internal Revenue Cycle Management (RCM) teams.
What you'll do
- Manage inbound and outbound patient communications about medical bills, claims, balances, payments, and reimbursements.
- Explain insurance benefits and patient financial responsibilities (deductibles, co-pays, co-insurance, out-of-pocket amounts).
- Handle patient calls and emails within established service-level agreements (SLAs).
- Research and resolve billing and balance concerns by reviewing claim status, payment postings, account notes, and payer communications.
- Support claim follow-up, including identifying barriers to reimbursement and assisting with appeals/reconsiderations.
- Document all patient interactions and resolution efforts in designated systems to meet quality, accuracy, and compliance standards.
What you'll need
- 3+ years of experience in U.S. healthcare Revenue Cycle Management (RCM), medical billing, accounts receivable, patient services, or related operations.
- Ability to demonstrate exceptional verbal communication skills in clear, fluent, professional English.
- Experience supporting U.S. healthcare providers, physician groups, hospitals, or healthcare outsourcing organizations is preferred.
- Strong understanding of U.S. healthcare revenue cycle workflows (eligibility verification, insurance verification, billing/claim submission).
- Knowledge of payment posting/reconciliation, accounts receivable follow-up, and denials and appeals management.
- Excellent verbal and written English communication skills.
Details
- Work mode: Remote.
- Shift: Night Shift.
- Location: Mumbai (Vikhroli).
Read the full description and apply on the company’s own careers page.
