Patient Advocate
RemoteMumbai, Maharashtra, India
Job Summary
Manage inbound and outbound patient communications regarding medical bills, insurance claims, account balances, and reimbursement inquiries while educating patients on benefits, deductibles, and out-of-pocket responsibilities. Research and resolve billing concerns by reviewing account notes, claim status, and payer communications, then collaborate with Accounts Receivable, Billing, and Coding teams to address complex issues. Accurately document all interactions within designated systems and maintain detailed records of inquiries and resolution efforts. Monitor patient queues throughout assigned night shifts, return calls and emails within service-level agreements, and process printing and mailing requests. Adhere to HIPAA regulations and complete required compliance training while identifying trends to support process improvement.
Required Qualifications
- Bachelor's degree preferred or equivalent healthcare revenue cycle experience
- 3+ years of experience in U.S. healthcare Revenue Cycle Management (RCM), medical billing, accounts receivable, patient services, or related healthcare operations
- Experience supporting U.S. healthcare providers, physician groups, hospitals, or healthcare outsourcing organizations
- Experience handling patient billing inquiries and insurance-related issues
- Strong understanding of U.S. healthcare revenue cycle workflows, including: Patient registration and eligibility verification, Insurance verification and benefits review, Medical billing and claim submission, Payment posting and reconciliation, Accounts receivable follow-up, Denials and appeals management, Patient collections and financial responsibility
- Working knowledge of commercial insurance, Medicare, Medicaid, and managed care plans
- Excellent verbal and written English communication skills
- Strong analytical, problem-solving, and customer service skills
- Ability to work independently while managing multiple priorities
- Must be available for Night Shift
- Location: Mumbai(Vikhroli)
Desired Qualifications
- Experience supporting U.S. healthcare organizations
- Experience working with U.S.-based healthcare clients from an offshore delivery center
- Familiarity with healthcare practice management systems, EMRs/EHRs, and RCM platforms
- Knowledge of denial management, appeals processes, and payer follow-up methodologies
- Previous experience in a patient advocacy, customer service, or healthcare call center environment supporting U.S. healthcare operations
- Familiarity with medical terminology, CPT, ICD-10, and HCPCS concepts
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