Patient Reimbursement Advocate Jobs

Imagine360 is currently seeking a Patient Reimbursement Advocate to join the team! The Patient Reimbursement Advocate works on behalf of employers to help employees reduce their medical bills. Advocates work one-on-one with each employee to navigate complex financial assistance programs, negotiate with providers, research discounted care options, and provide steady support throughout the payment and collections process. Advocates leverage our firm's expertise in healthcare billing, consumer protection laws, and financial assistance programs to provide compassionate service to employees, regardless of insurance status or ability to pay.

Position Location: 100% Remote

Responsibilities include but are not limited to:

• Perform other duties as assigned by management
• Serve as a liaison between employee and provider throughout the financial assistance process
• Provide exceptional customer service to each employee and provider representative, maintaining Upland's high-touch, concierge model
• Build strong rapport with employees, providers, and internal counterparts
• Provide medical financial advocacy to participants by understanding their individual needs and supporting them with care and financial assistance navigation, medical bill negotiation, and collections support
• Maintain Upland's quality standards by meticulously documenting all communication and progress in Upland's case management system
• Manage ongoing case load of employees in need of medical financial advocacy
• Track each case to completion, managing key deadlines and deliverables
• Research free or low-cost providers in each employee's service area
• Apply strong knowledge of HIPAA regulations
• Apply independent critical thinking and acumen to provide innovative solutions to each employee issue that arises
• Develop expertise in navigating financial assistance policies in specific markets and providers
• Build sustainable relationships and trust with employees in a high touch advocacy model, providing white glove treatment

Required Experience / Education:

• College degree or equivalent combination of college and work experience. Social work or other healthcare degree a plus.
• Experience in billing, insurance, healthcare or legal environment
• 3-5 years of experience in healthcare, preferably with experience in customer / member experience and/or patient navigation
• Proficiency in Microsoft Outlook, Microsoft Word, Excel and internet navigation

What can Imagine360 offer you?

• Professional development initiatives / continuous learning opportunities
• Parental Leave Policy
• 100% Company-Paid Premiums for Employee's Medical, Vision and Dental Plans
• 20 days PTO to start / 10 Paid Holidays  
• Opportunities to participate in and support the company's diversity and inclusion initiatives
• Company paid Short & Long term Disability plus Life Insurance
• Tuition reimbursement
• 401k Company contribution

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Imagine360 is a health plan solution company that combines 50+ years of self-funding healthcare expertise. Over the years, we've helped thousands of employers save billions on healthcare. Our breakthrough total health plan solution is fixing today's one-size-fits-none PPO insurance problems with powerful, customized, member-focused solutions.

Imagine360 is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or veteran status.

**RECRUITMENT AGENCIES PLEASE NOTE: Imagine360 will only accept applications from agencies/business partners that have been invited to work on a specific role. Candidate Resumes/CV's submitted without permission or directly to Hiring Managers will be considered unsolicited and no fee will be payable. Thank you for your cooperation**