Granted
Healthcare Advocate (Medical Coding)
Remote - Continental US
Sponsorship not specifiedDetected 69 days ago
ComplianceHIPAAICD-10Plain Language
About the role
- Medical bills and insurance coverage shouldn't be this hard to navigate.
- Thanks to AI and new regulations, Granted can fight claim denials, correct billing errors, negotiate bills, and make coverage easier to understand-saving people time, money, and stress.
- We're lucky to be backed by the founders and investors at Hugging Face, Rocket Money, Oscar Health, CaseText, Forerunner Ventures, RRE Ventures, and more.
Responsibilities
- You will own a case from handoff to resolution, including next steps, outreach strategy, documentation, and follow-through.
- You will drive improvements to playbooks and internal processes based on real case patterns.
- Maintain high-quality case notes so anyone can understand what happened, what changed, and what to do next.
- Partner with Product and Engineering to turn real case patterns into product improvements and better automation.
- A core part of this role is validating that the billing on an EOB actually reflects the care the patient received, catching code-level errors that drive incorrect charges before they become bigger problems.
- You'll work on a small, high-trust team and partner closely with Product and Engineering to turn frontline learnings into better workflows and a better user experience.
Requirements
- Demonstrated track record of catching billing errors that reduced patient financial liability, overturned denials tied to coding issues, or corrected claims with incorrect codes.
- Experience with Medicare, Medicare Advantage, and/or Medicaid billing rules, including how coding guidelines differ across payer types.
- Formal coding certification (CPC, CPC-H, or equivalent) is a plus but not required.
Nice to have
- New York, Texas, Ohio
Compensation
- In compliance with applicable pay transparency laws, the good-faith annual base salary typically starts at $50,000. Individual compensation will vary based on experience, relevant expertise, and geographic location.
Benefits
- to be the #1 platform that empowers all Americans to take charge of their healthcare
- Founded by a former Oscar Health leader, we're a seed-stage company with $17M in funding.
- The Customer Experience (CX) team delivers high-quality support that helps Granted users navigate the U.S. healthcare system with less time, cost, and stress.
- We're growing quickly, and we're hiring Healthcare Advocates (HA) to take on more complex cases and raise the bar on what "great support" looks like as we scale.
- As a HA, you'll own high-impact medical billing and insurance cases end-to-end.
- 2+ years of experience in patient/healthcare advocacy, medical billing, or health insurance
- 2+ years of hands-on experience in medical billing or coding, with working knowledge of CPT, ICD-10, and how codes translate to patient financial responsibility.
- You will decide how to route each situation (provider billing department, insurer, collections, employer plan, or user education) and what "done" looks like.
- Contact providers and insurers via phone, email, and fax to verify coverage, correct claim and billing issues, and unblock next steps.
- Investigate and triage issues across benefits, eligibility, claims, prior auth, billing codes, and payment responsibility.
- Continuously learn healthcare regulations, payer behavior, coding guidelines, and internal playbooks, and apply that learning quickly.
Company info
- We are well-funded for the next few years.
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