Patient Success Specialist (Healthcare)

TL;DR

Patient Success Specialist (Healthcare): Managing patient eligibility verifications, claim submissions, and high-level escalations within the genetic testing domain with an accent on medical billing and regulatory compliance. Focus on resolving complex billing inquiries, coordinating cross-departmental workflows, and ensuring strict adherence to HIPAA and PHI guidelines.

Location: US Remote

Salary: $20 per hour (approx. $3,200/month)

Company

hirify.global is a global leader in cell-free DNA (cfDNA) testing, dedicated to oncology, women’s health, and organ health.

What you will do

• Manage patient-specific eligibility verifications with payers, claim submissions, and investigations.
• Resolve high-level escalations from patients, sales teams, and clinics using Salesforce.
• Coordinate workflows between departments to expedite project efficiencies and resolution of cases.
• Perform patient outreach via SMS, email, and phone to resolve escalated billing and status issues.
• Contribute to the modification of internal/external protocols and SOPs to expand product lines.
• Handle Protected Health Information (PHI) in strict accordance with HIPAA and security regulations.

Requirements

• Bachelor’s degree or equivalent professional experience.
• Must be based in the United States.
• Minimum 2 years of experience in a call center (inbound and outbound capacity).
• Minimum 2 years of experience working with Salesforce.com.
• Strong knowledge of Medicare and Medicaid practices and medical billing/coding.
• Ability to maintain current status on HIPAA/PHI privacy and security training.

Culture & Benefits

• Comprehensive health benefits including medical, dental, and vision plans.
• 401(k) plan with company match.
• Annual performance incentive bonus and long-term equity awards.
• Generous paid time off and company holidays.
• Free testing for employees and their immediate families, including fertility care benefits.