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Patient Intake Advocate

3 months ago


Atlanta, United States MultiPlan Full time

Imagine a workplace that encourages you to interpret, innovate and inspire. Our employees do just that by helping healthcare payers manage the cost of care, improve competitiveness and inspire positive change. You can be part of an established company with a 40-year legacy that helps our customers thrive by interpreting our client's needs and tailoring innovative healthcare cost management solutions.

Our commitment to diversity, inclusion and belonging are part of the fabric of our company. We strive to create a workplace that fosters mutual respect and collaboration, where every talent individual can participate and perform their best work. We are MultiPlan and we are where bright people come to shine

Are you looking for a rewarding new position with an industry leader with a firm commitment to its employees? Join our team at MultiPlan 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 role is responsible for addressing member, client and provider inquiries (balance bills and appeals) with an emphasis on educating members of the Patient Advocacy Center process.

JOB ROLES AND RESPONSIBILITIES:

As a Patient Intake Advocate, you will be responsible for matching the daily volume of incoming client claims to the correct provider using an in-house web based application.  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

Your specific duties in this role will include:

1.  Manages main phone line and answers all inquiries.
2.  Ensures member inquiries are addressed timely; including education.
3.  Ensures clear documentation of events associated to a medical claim.
4.  Manages a daily running inventory of claims, prioritizing one's work schedule accordingly.
5.  Addresses all emails, incoming calls and inquiries while directing specific inquiries to the appropriate parties.
6.  Receives, reviews and forwards incoming mail.
7.  Maintains daily tasks of sending letters to members, recording contact information and requesting necessary documents from clients when needed.
8.  Keeps the Lead Patient Advocate informed of critical matters.
9.  Assists in maintaining a clean, safe and unobstructed workplace environment.
10. Ensure compliance with HIPPA regulations and requirements.
11. Demonstrate commitment to the Company's core values.
12. Please note due to the exposure of PHI sensitive data -- this role is considered to be a High Risk Role.
13. The position responsibilities outlined above are in no way to be construed as all encompassing. Other duties, responsibilities, and qualifications may be required and/or 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.