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 seeking an enthusiastic Patient Navigator - Billing/Benefits Specialist who is committed to providing exceptional service and support to our members.

In this role, your core responsibility will be clear communication. We aim to ensure that every member can connect with a live person when they need assistance, rather than navigating through phone queues or lengthy waits. You will interact with our members across all communication channels (phone, chat, email, messaging, and our online portal), collaborating closely with our medical team to ensure members receive necessary care and information to make well-informed healthcare decisions for themselves and their families.

To excel in this position, you should demonstrate these four key qualities:

1. Personable: You will forge connections and build relationships with each caller.
2. Tech-savvy: Comfort with technology is essential; familiarity with Microsoft Office applications and a high level of proficiency with PC-based productivity tools are required.
3. Self-confident: You'll need to exercise sound judgment to determine the best approach for meeting patients’ needs.
4. Service-oriented: A passion for delivering outstanding service is crucial.

Key responsibilities include:

• Primary point of contact for efficient claim follow-up, patient communication, and denial resolution.
• Providing updates regarding benefits investigations related to the member’s financial responsibilities, such as co-pays and co-insurance.
• Acting as a patient advocate, facilitating communication between the patient, insurance companies, and medical offices.
• Pursuing the challenge of addressing insurance claims while steadfastly advocating for patients.
• Understanding claim requirements and executing essential billing activities, including evaluation and correction of billing edits, claim transmission, rejections, and other claim functions.
• Processing insurance/patient correspondence and maintaining accurate history of communications in the EMR.
• Demonstrating resourcefulness and emotional intelligence to identify solutions and collaborate with others.
• Access to a remote workspace with high-speed internet and privacy is required.

Requirements

• Minimum three (3) years of experience in financial counseling, patient financial services, or insurance follow-up at a hospital, third party administrator or health insurance company is required.
• Minimum two (2) years of experience in patient communication, including researching and documenting patient insurance information.
• Experience in billing and coding is required; a medical billing certificate is preferred.
• Strong communication and customer service skills, with a focus on assisting patients in a healthcare setting.
• Bilingual in Spanish and English is preferred.
• A high school diploma or equivalent is required; an associate degree is preferred.

Compensation ranges from $25/hr to $35/hr based on experience.

This position is an office based role. Amaze is located at Bellview and I25.

Benefits

Amaze provides an extensive benefits package featuring medical, dental, and vision coverage, along with paid time off and a 401(k) plan.