Patient Advocate and Accounts Receivable Specialist

Job Description

Company Description

Machaon Diagnostics is a clinical reference laboratory and contract research organization (CRO) that focuses on diagnosing, treating, and monitoring hemostatic and thrombotic conditions, complement-mediated disorders, and rare genetic diseases. Our mission is to save more lives with lab tests. Originating from a collaboration of four laboratory scientists, the team now includes clinicians, scientists, consultants, and technologists with over 400+ years of collective expertise. We provide esoteric and routine testing services to a broad clientele, including community hospitals, university medical centers, clinics, commercial laboratories, and research facilities, as well as biotechnology, pharmaceutical, and medical device companies. Our primary goal is to deliver high-quality testing with industry-leading speed.

Role Description

This is a full-time, on-site role located in Berkeley, CA for a Patient Advocate and Accounts Receivable Specialist. The responsibilities include managing patient accounts, advocating for patient needs, handling customer service inquiries, and managing cases. Additionally, the role involves critical thinking and effective communication in a medical setting. The specialist will work closely with patients, healthcare providers, and internal teams to ensure the best possible outcomes for those requiring our diagnostic services.

Patient Advocacy, Insurance Billing & Sponsored Testing Coordination (Outpatient Focus)

• Enroll patients in sponsored testing programs and coordinate the delivery of outpatient samples to the laboratory for urgent testing.
• Submit claims to insurance providers accurately and promptly. Maintain consistent communication with and advocacy for patients.
• Obtain authorizations from insurance entities and provide good faith estimates to patients when necessary.
• Communicate test requirements, billing processes and available programs to healthcare providers via phone and email.

Client Account Management and Onboarding (Insurance) Institutional Focus

Coordinate the onboarding of new clients and healthcare agencies that send testing to Machaon Diagnostics.

Revenue Cycle & Accounts Receivable

Experience Requirements

Constant adherence to HIPAA compliance and patient confidentiality requirements

Education Requirements

Required :

Preferred :