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Hartford City, IN

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Jacksonville, AL

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Spanish Fort, AL (Daphne)

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Kendallville, IN

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Martinsville, IN

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Thompson’s Station

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Tullahoma Sunrise Pediatrics

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Sulphur (Carlyss)

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Russellville, KY

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Madisonville, KY

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Madisonville, TN

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Lawrenceburg, KY

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Knoxville, Western Avenue

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Knoxville, Middlebrook Pike

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Shelbyville Kids are Special

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Holly Springs, MS

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Knoxville (Cedar Lane)

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Claims Escalation Specialist JobFranklin, TN

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Why You'll Love This Job

Fast Pace Health strives to provide a best in class patient experience in every interaction. We are seeking a highly-skilled, experienced Patient Advocate to join our growing team. Our ideal candidate will be deeply committed to nurturing our Fast Pace mission of teamwork, communication, empowerment and quality care in a friendly and encouraging environment.

Fast Pace Health aims to push for a new vision of healthcare in rural communities that will consist of an array of different services. We are changing the delivery of healthcare in these rural areas by integrating excellent patient care, education, accessibility, and community service, in a way that puts the patient’s needs first and improves the health status of our communities.

In a way, that best supports our values, the responsibility of a Patient Advocate will be to ensure patients and customers/clinics receive a quick and accurate response to inquiries related to their health insurance plans and services provided as well as coordinating the collection on patient accounts receivables when patients/clinics reach out to the Support Office . The Patient Advocate will provide effective customer service for all internal and external customers by using, excellent, in-depth knowledge as well as communicating effectively with team members and strong customer service.  

 

What You Will Do:

  • Assist patients by helping them decipher benefit plan documents, explaining their benefits, explaining the applicable benefit plan policies and/or procedures, and referring them to the appropriate service representatives if additional steps are required.
  • Resolves eligibility-related discrepancies for patients and clinics, by updating the practice management system with the correct information.
  • Acts as a liaison between the patient and internal department for Fast Pace.
  • Escalates issues of increased complexity to Team Lead and Manager of Claims Review & Adjudication, according to the department/company standards.
  • Documents patient communications in the client management services tool according to the department standards.
  • Assist patients & clinics with benefit claims resolution by coordinating with the collections team to escalate the claim for further research and completion.
  • Accepts payments from patients on their accounts. Will assist our clinics with deleting and researching payment errors.
  • Negotiates payment plans with patients based on department standards for resolution of past due balances.
  • Communicates and performs necessary follow-up with patients, clinics, and internal departments regarding outstanding issues.
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