Patient Advocacy Audit Specialist (HealthTech)
Мэтч & Сопровод
Для мэтча с этой вакансией нужен Plus
Описание вакансии
TL;DR
Patient Advocacy Audit Specialist (HealthTech): Reviewing and auditing patient advocacy tasks to ensure accuracy and alignment with program requirements with an accent on revenue recovery and rejection code verification. Focus on identifying systemic coding errors, reducing revenue leakage, and improving advocacy workflows.
Location: Remote (Must be based in the Philippines)
Company
A U.S. healthcare company focused on simplifying patient access to medical care and financial aid programs by connecting patients with manufacturer assistance.
What you will do
- Review rejected tasks daily to verify that correct rejection codes were applied in MAP.
- Identify miscoded rejections where enrollments, orders, or claims remain actionable to recapture revenue.
- Surface rejection code errors to the Director of Patient Advocacy for immediate corrective action.
- Track patterns in coding misuse to identify training gaps or systemic errors.
- Document and report quality findings to improve patient advocacy workflows and tools.
- Participate in calibration sessions to align audit standards with operational expectations.
Requirements
- Must be based in the Philippines.
- High school diploma or equivalent; associates degree or higher preferred.
- Prior experience in healthcare, patient access, billing, or quality assurance environment.
- Proficiency in Microsoft Office and ability to navigate multiple systems simultaneously.
- Basic knowledge of medical terminology.
- Experience with EHRs such as EPIC, Cerner, Meditech, or Allscripts.
Nice to have
- Familiarity with patient assistance programs, copay support, or pharmaceutical access programs.
- Experience with audit tools, quality tracking systems, or case management platforms.
Culture & Benefits
- Full-time remote work arrangement within the Philippines.
- Opportunity to contribute to a mission of removing financial barriers to medical treatment.
- Professional environment focused on quality control and continuous operational improvement.
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