Patient Services Advocate

The Patient Service Advocate (Virtual Medical Receptionist/Claim Denial Investigator) is responsible for answering phones, scheduling appointments, and returning emails to ensure compassionate patient care.

Position Summary:

The Patient Service Advocate (Virtual Medical Receptionist/Claim Denial Investigator) is responsible for answering phones, scheduling appointments, and returning emails to ensure compassionate patient care. Perform insurance verification, eligibility, code providers’ medical documentation, payment reconciliation, claim review, and collections.

Primary Responsibilities

• Answer, scribe, and transfer incoming communication and inquiries by phone and email

• Respond and comply with requests for information

• Schedule, confirm, and maintain timely appointments of patients via phone, online, and patient portal

• Verify insurance information and verify co-pays, deductibles, and balances

• Analyze denied claims (tracking denial trends, identifying patterns)

• Working with insurance companies to have claims paid

• Inform patients of medical office policies and procedures

• Virtual back-office support with chart prep, insurance verification, and pre-authorizations, as needed

Knowledge, Skills, and Abilities:

• Knowledge of medical terminology, procedures, and diagnosis preferred

• Knowledge of US health insurance ( ex. Medicare, BlueCross BlueShield, United Healthcare), a plus 

• Knowledgeable of payer regulations and contract terms

• Excellent analytical and problem-solving skills

• Strong understanding of healthcare billing codes (CPT, ICD-10, HCPCS)

• Knowledgeable of payer regulations and contract terms

• Excellent analytical and problem-solving skills

• Effective communication and negotiation skills

• Attention to detail and ability to work independently  

• Understand general administrative processes

• Ability to multitask VIRTUALLY within a high-functioning, fast-paced, multidisciplinary
  medical center

• Knowledge of EMR (Electronic Medical Records) preferred

• Individuals must be skilled in verbal and written communication skills, able to read from a
  Script

• Able to develop good customer relationships to achieve customer satisfaction

• Ability to self-manage and self-motivate

• Project management

• Willing and excited to learn new skills

Qualifications:

• High School Diploma required

• 1-2 years experience in a medical clinic or medical call center environment preferred

• Essential Functions/Physical Requirements below are required with or without reasonable accommodations:

• Ability to tolerate walking, standing, and sitting throughout the day.

• Ability to meet the attendance requirements for the position

• Ability to be in office, Montego Bay

• Reputation of being organized, reliable, and punctual

Compensation:

• Entry level is 500 JMD/hr

• Bonuses based on performance and reliability

Benefits:

• Health Insurance 

• Vision Insurance 

• Dental Insurance 

• Life Insurance