(Remote – U.S.)
🧾 About the Role
Claritev is hiring a Patient Advocate Representative to support members dealing with balance bills, appeals, and healthcare claim issues. You’ll manage inquiries, negotiate with providers, and guide patients through complex claim scenarios. This full-time remote role requires sharp communication, strong organizational skills, and a service-first mindset.
✅ Position Highlights
• $25–$30 per hour
• Full-time, remote (U.S. only – all time zones)
• Standard shift aligned to your U.S. time zone (5 AM–2 PM PT / 6 AM–3 PM MT / 7 AM–4 PM CT / 8 AM–5 PM ET)
• Eligible for health benefits, 401(k), paid parental leave, and bonus
📋 What You’ll Own
• Respond to patient, provider, and facility inquiries about claims and billing
• Review, research, and negotiate appeals and balance bills
• Track provider relationships and escalate trends or redirection opportunities
• Document claim resolution activities in internal systems
• Educate members and clients on resolution options
• Prioritize daily workload and manage call/email volumes
• Stay HIPAA-compliant and maintain confidentiality
• Collaborate across internal teams to ensure service excellence
🎯 Must-Have Traits
• High school diploma (Bachelor’s preferred)
• 2+ years in healthcare claims, provider billing, or medical appeals
• Knowledge of claims adjudication and EOB interpretation
• Strong negotiation and resolution skills
• Effective communicator (written and verbal)
• High emotional intelligence, team spirit, and self-direction
• Ability to manage high call/email volume without dropping the ball
• Moderate to advanced familiarity with claim editing, coding (RVU, CMS), and pricing
• Bilingual is a plus
• Must be PC-literate with Microsoft Office and web-based tools
• Licensure (NY Health and/or P&C Adjustor license) may be required – must be obtained within 6 months if notified
💻 Remote Requirements
• Quiet, distraction-free home setup
• High-speed internet
• Comfortable working long hours on-screen with sensitive data
💡 Why It’s a Win for Remote Job Seekers
• Competitive hourly pay with benefits and bonus
• Strong mission-driven culture supporting healthcare cost navigation
• Growth potential through live and web-based training
• 401(k) + match, generous PTO, employee stock purchase plan
• Tuition reimbursement, sick leave, flexible spending accounts, and summer hour options
✍️ Call to Action
If you’re the calm in the chaos and thrive helping others navigate the messy world of healthcare claims, apply now. Claritev’s Patient Advocacy team needs you.