Imagine360

Upland Advocate

Imagine360  •  $55k - $63k/yr  •  United States (Remote)  •  2 days ago
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Job Description

Imagine360 is seeking a Upland Advocate to join the team!  Upland Advocacy is changing the cost of medical care for those who need it most. We are a healthcare financial support company that helps insured and uninsured employees find free care, negotiate discounts, and navigate collections and payments. Working through the lens of a patient, we are giving the American workforce broader access to affordable care and more control over its financial future.

The Upland Advocate works on behalf of employers to help employees reduce their medical bills. Advocates work one-on-one with each employee to navigate complex financial assistance programs, negotiate with providers, research discounted care options, and provide steady support throughout the payment and collections process. Advocates leverage expertise in healthcare billing, consumer protection laws, and financial assistance programs to provide compassionate service to employees, regardless of insurance status or ability to pay.

Position Location: 100% remote

Responsibilities include but are not limited to:

  • Assist employees by completing, submitting, and tracking financial assistance applications
  • Manage ongoing case load of employees in need of medical bill reduction
  • Track each case to completion, managing key deadlines and deliverables
  • Research free or low-cost providers in each employee's service area
  • Develop expertise in navigating financial assistance policies in specific markets and providers
  • Serve as a liaison between employee and provider throughout the financial assistance process
  • Negotiate cash price discounts for employees who do not qualify for financial assistance
  • Negotiate case agreements and payment plans for existing medical bills
  • Support individuals in collections by validating their obligations and providing education on their rights
  • Maintain Upland's quality standards by meticulously documenting all communication and progress in Upland's case management system
  • Provide exceptional customer service to each employee and provider representative, maintaining Upland's high-touch, concierge model
  • Apply independent critical thinking and acumen to provide innovative solutions to each employee issue that arises
  • Build strong rapport with employees, providers, and internal counterparts
  • Build sustainable relationships and trust with employees in a high touch advocacy model, providing white glove treatment
  • Apply strong knowledge of HIPAA regulations
  • Perform other duties as assigned by management

Required Experience/Education:

  • High School or GED
  • Bachelor's Degree
  • College degree or equivalent combination of college and work experience.
  • 3-5 years of experience healthcare, preferably with experience in customer / member experience and/or patient navigation

Skills and Abilities:

  • Native proficiency in Spanish preferred
  • Proficiency in Microsoft Outlook, Microsoft Word, Excel and internet navigation
  • Experience in billing, insurance, healthcare or legal environments

What can Imagine360 offer you?

  • Multiple Health plan options
  • Company paid employee premiums for disability and life insurance
  • Parental Leave Policy
  • 20 days PTO to start / 10 Paid Holidays
  • Tuition reimbursement
  • 401k Company contribution
  • Company paid Short & Long term Disability plus Life Insurance
  • Professional development initiatives / continuous learning opportunities
  • Opportunities to participate in and support the company's diversity and inclusion initiatives

Want to see our latest job opportunities? Follow us on  LinkedIn

Imagine360 is a health plan solution company that combines 50+ years of self-funding healthcare expertise. Over the years, we've helped thousands of employers save billions on healthcare. Our breakthrough total health plan solution is fixing today's one-size-fits-none PPO insurance problems with powerful, customized, member-focused solutions.

Imagine360 is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or veteran status.

**RECRUITMENT AGENCIES PLEASE NOTE: Imagine360 will only accept applications from agencies/business partners that have been invited to work on a specific role. Candidate Resumes/CV's submitted without permission or directly to Hiring Managers will be considered unsolicited and no fee will be payable. Thank you for your cooperation**

Imagine360

About Imagine360

Imagine360 is an integrated health plan addressing one of the greatest challenges on behalf of self-funded employers: healthcare costs are harming the bottom line, they're increasingly unaffordable for employees, and the experience remains poor. We help businesses and their employees navigate through clutter and chaos and bring deep cost savings that protect everyone’s well-being and budgets. It’s way more than a health plan. It’s a promise.

We’ve helped hundreds of self-funded clients. Our solutions are ready to be implemented. The results are proven and impactful.

Imagine360’s innovative payment model includes preferential contracting with providers and health systems, and additional price protection through reference-based pricing, saving employers 15-30% on average compared to the national carriers.

With more than 17 years’ experience, and 25-million-months of member data, Imagine360 offers care coordination and medical management to proactively guide members through the complexities of healthcare. We bring employers a reimagined health plan solution, created to provide the flexibility, service and support employers need to take good care of employees, their families and business. We do this through:

- Assistance with plan design and expert administration with integrated third-party administration

- Built-in price protection from the #1 reference-based pricing solution in healthcare

- Provider contracts with Imagine Health’s top-rated providers and health systems

- Comprehensive member support throughout their healthcare journey

It’s more than a health plan. It’s our promise to deliver a better health plan experience.

Learn more at https://www.imagine360 today!

Industry
Finance & Insurance
Company Size
501-1,000 employees
Headquarters
Wayne, Pennsylvania
Year Founded
2003
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