Member Services Patient Advocate GA

Member Services Patient Advocate At Claritev, we pride ourselves on being a dynamic team of innovative professionals. Our purpose is simple - we strive to bend the cost curve in healthcare for all. Our dedication to service excellence extends to all our stakeholders - internal and external - driving us to consistently exceed expectations. We are intentionally bold, we foster innovation, we nurture accountability, we champion diversity, and empower each other to illuminate our collective potential. Be part of our amazing transformational journey as we optimize the opportunity towards becoming a leading technology, data, and innovation voice in healthcare. Onward and Upward!!! Are you looking for a rewarding new position with an industry leader with a firm commitment to its employees? Join our team at Claritev! Founded in 1980, we are the industry's most comprehensive provider of healthcare cost management solutions. We have almost 1,000,000 healthcare providers under contract, an estimated 70 million consumers accessing our network products, and 46 million claims reduced through our network and non-network solutions each year.  This position may be located anywhere in the Eastern, Central, Mountain or Pacific time zones.  Work schedules are as follows: 5:00 am to 2:00 pm PT 6:00 am to 3:00 pm MT 7:00 am to 4:00 pm CT 8:00 am to 5:00 pm ET JOB RESPONSIBILITIES   As a Member Services Patient Advocate, you will be responsible for addressing all member communications related to balance billing situations, educating of the process, and updating on the negotiations for closing out the balance bills. Your specific duties in this role will include:    Manages member phone line and answers all inquiries. Ensures member inquiries are addressed timely; including education. Ensures clear documentation of events associated to a medical claim. Manages a daily running inventory of claims, prioritizing one's work schedule accordingly. Addresses all member emails, incoming calls, texts and inquiries. Maintains daily tasks of sending letters to members and recording contact information. Keeps the Lead Patient Advocate direct report informed of critical matters. Collaborates, coordinates, and communicates across disciplines and departments. Assists in maintaining a clean, safe and unobstructed workplace environment. Ensure compliance with HIPAA regulations and requirements. Demonstrate commitment to the Company's core values. Please note due to the exposure of PHI sensitive data -- this role is considered to be a High Risk Role. The position responsibilities outlined above are in no way to be construed as all encompassing. Other duties, responsibilities, and qualifications may be required andor assigned as necessary. JOB SCOPE:This position works under direct supervision in a self-directed and results oriented manner. The incumbent works within established standards and procedures, relying on a broad range of knowledge gained through training and experience to complete the job responsibilities as assigned. Work may often be varied and complex in nature. The incumbent may have regular contact amongst all levels of internal and external sources to complete objects keeping the needs of external and internal customers in mind when making decisions and taking action.

Created: 2025-03-11