Review and audit the work performed by Patient Advocates
Ensure patient advocacy tasks are completed accurately and align with program requirements and client expectations
Identify revenue recovery opportunities and surface actionable findings to leadership
Review rejected tasks in MAP to verify correct rejection codes were applied
Identify rejection code errors and surface them to the Director of Patient Advocacy
Document and track quality findings to improve workflows, tools, and services
Prepare audit finding reports and submit feedback to the Director of Patient Advocacy
Participate in calibration sessions to align audit standards

High school diploma or equivalent required; associates degree or higher preferred
Prior experience in a healthcare, patient access, billing, or quality assurance environment strongly preferred
Familiarity with patient assistance programs, copay support, or pharmaceutical access programs is a plus
Experience with healthcare Electronic Health Records (EHRs) such as EPIC, Cerner, Meditech, or Allscripts preferred
Proficient computer skills with advanced Microsoft Office capabilities (assessment may be administered)
Ability to navigate multiple computer systems and platforms simultaneously
Basic knowledge of medical terminology preferred
Experience with audit tools, quality tracking systems, or case management platforms is a plus
Exceptional attention to detail with a sharp eye for errors and inconsistencies
Strong analytical and critical thinking skills
Clear written and verbal communication skills for documenting and reporting findings
Ability to work independently with minimal 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

Patient Advocacy Audit Specialist

Key skills