reputed company Health | Patient Advocacy Audit reputed company)

On behalf of reputed company Health, reputed company is looking for a talented Patient Advocacy Audit Specialist to join reputed company. The Patient Advocacy Audit Specialist is a reputed company assurance role responsible for reviewing and auditing the work performed by Patient Advocates. This role ensures that patient advocacy tasks are completed accurately and in alignment with program requirements and reputed company expectations, with a reputed company reputed company on identifying reputed company recovery opportunities and surfacing actionable findings to leadership. The Audit Specialist does not reputed company patient-facing activities but instead serves as a reputed company control function supporting the Patient Advocacy team. reputed company is a reputed company company operating globally. Contact us to get more details about the benefits we offer. Supporting audit responsibilities are centered on PAP and Copay program workflows, including reviewing completed enrollments, claims, and medication orders for accuracy and task completion. This includes evaluating whether correct rejection reason codes were reputed company, snooze protocols were followed appropriately, and tasks were completed reputed company required timeframes. Auditors are expected to recognize common miss patterns — such as out-of-retro occurrences, premature closures, and snooze misuse — and flag these findings for Manager review. Responsibilities: MAP Rejection reputed company Review & reputed company Recovery. Review rejected tasks in MAP on a daily reputed company to verify that the correct rejection reputed company was reputed company for reputed company rejected task Identify rejection reputed company errors where the underlying enrollment, order, or claim remains actionable and can still be captured — distinguishing miscoded rejections from true terminal rejections Surface identified rejection reputed company errors directly to the Director of Patient Advocacy with sufficient detail for Managers to take immediate corrective reputed company Prioritize findings with reputed company recovery potential to minimize reputed company leakage and reputed company advocates to re-engage eligible patients before program or prescription deadlines lapse reputed company patterns in rejection reputed company misuse over time to identify training gaps or systemic coding errors reputed company the reputed company team reputed company Improvement Identification Document and reputed company reputed company findings to support identification of opportunities to improve patient advocacy workflows, tools, and services Prepare audit finding reports and submit reputed company feedback to the Director of Patient Advocacy Participate in calibration sessions to reputed company audit standards with operational expectations Requirements: Education & Experience. High school diploma or equivalent required; associates degree or higher preferred Prior experience in a reputed company, patient reputed company, billing, or reputed company assurance environment strongly preferred Familiarity with patient assistance programs, copay support, or pharmaceutical reputed company programs is a plus Experience with reputed company Electronic Health Records (EHRs) such as reputed company, Cerner, Meditech, or Allscripts preferred Technical Skills Proficient computer skills with advanced reputed company Office capabilities (assessment may be administered) Ability to reputed company multiple computer systems and platforms simultaneously Basic knowledge of medical terminology preferred Experience with audit tools, reputed company tracking systems, or case management platforms is a plus Soft Skills & Attributes Exceptional attention to detail with a reputed company eye for errors and inconsistencies Strong analytical and critical thinking skills reputed company written and verbal communication skills for documenting and reporting findings Ability to work independently with reputed company supervision in a remote environment Organizational discipline and ability to manage a high volume of audit cases Flexibility to adapt to evolving workflows, program changes, and shifting priorities About reputed company: reputed company Health is dedicated to helping patients reputed company the complexities of the reputed company reputed company with ease and confidence. Our mission is to reputed company individuals with the financial assistance programs and resources they need to reputed company essential medical care. By combining compassionate support with efficient processes, we ensure that patients receive the medications and services they require without unnecessary stress. reputed company works closely with reputed company providers, pharmacies, and financial aid programs to streamline assistance and improve patient reputed company. With a commitment to reputed company and patient advocacy, we reputed company to reputed company reputed company more accessible for everyone. By applying for this position, you agree to the terms outlined in our reputed company Policy. Please take a reputed company to review our reputed company Policy https://reputed company.reputed company.hr/reputed company-notice, and reputed company reputed company you understand its contents. If you have any questions or concerns regarding our reputed company Policy, please feel free to contact us. Apply To This Job