Healthcare Advocate
Own and resolve complex medical billing and insurance cases end-to-end as a Healthcare Advocate. Investigate claims, advocate with providers and insurers, and partner with Product/Engineering to improve automation. Ideal for those with personal experience navigating the US healthcare system.
About the job
What You'll Do
- Resolve complex user cases end-to-end, from AI handoff through final outcome.
- Contact providers and insurers via phone, email, and fax to verify coverage, correct claim and billing issues, and unblock next steps.
- Investigate and triage issues across benefits, eligibility, claims, prior authorization, billing codes, and payment responsibility.
- Advocate for the user by pushing cases forward with persistence, clear escalation paths, and strong documentation.
- Communicate clearly with users, setting expectations, sharing progress, and explaining options in plain language.
- Maintain high-quality case notes so anyone can understand what happened, what changed, and what to do next.
- Continuously learn healthcare regulations, payer behavior, and internal playbooks, and apply that learning quickly.
- Improve how we operate by collaborating with other Healthcare Advocates, identifying repeat issues, tightening workflows, and helping build playbooks that scale.
- Partner with Product and Engineering to turn real case patterns into product improvements and better automation.
Who Thrives Here / Requirements
- You've personally navigated a complicated healthcare or insurance situation — for yourself, a parent, a partner, or another family member — and know what it's like to sit on hold, decode an EOB, or fight a denied claim.
- Comfortable reading and interpreting Explanation of Benefits (EOBs), or willing to learn fast.
- Strong instinct for problem-solving through ambiguity — no playbook exists for most of what you'll do.
- Excellent written communication skills. Almost all user interaction happens over chat.
- Comfortable being direct and persistent with institutions (insurers, provider billing offices) on someone else's behalf.
- Genuine interest in healthcare, insurance, or patient advocacy as a space you want to build a career in.
Nice-to-Haves
- Coursework or self-study in health policy, public health, healthcare administration, or a related field.
- Experience in a high-ownership, low-structure environment (startup internship, small nonprofit, research lab, running your own project).
- Flexible schedule to work 40 hours between 7am–8pm EST, 7 days/week, either Sunday–Thursday, 9am–6pm, OR Tuesday–Saturday, 10am–7pm.
Compensation
Individual compensation will vary based on experience, relevant expertise, and geographic location.
Skills
Healthcare Advocacy, Medical Billing, Insurance Claims, Explanation Of Benefits, Health Policy, Problem Solving, Written Communication, Patient Advocacy, Healthcare Regulations
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