Patient Advocacy Audit Specialist

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SD Solutions

WebsiteLinkedInAll Job Openings

201 - 500 employees

🤝 B2B

🎯 Recruiter

🏢 Enterprise

B2B • Recruitment • Enterprise

SD Solutions is a company that specializes in providing a variety of staffing and outsourcing solutions aimed at driving IT-driven businesses towards growth. The company offers services such as Staff Augmentation, Recruitment Process Outsourcing (RPO), Business Process Outsourcing (BPO), and Employer of Record (EoR), which allow businesses to hire globally without the need to establish a legal entity abroad. SD Solutions focuses on empowering businesses with comprehensive services tailored for global expansion and offers strategic guidance and consulting. They provide dedicated engineering, data science, and DevOps teams to ensure seamless technological evolution. With significant experience and a strong track record, SD Solutions helps businesses scale and transform dynamically.

📋 Description

• Responsible for reviewing and auditing the work performed by Patient Advocates • Ensure that patient advocacy tasks are completed accurately in alignment with program requirements • Identify revenue recovery opportunities and surface actionable findings to leadership • Support audit responsibilities centered on PAP and Copay program workflows • Review completed enrollments, claims, and medication orders for accuracy • Evaluate rejection reason codes and track patterns in misuse for improvement • Document and track quality findings to support identification of improvement opportunities • Prepare audit finding reports and submit structured feedback

🎯 Requirements

• 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

🏖️ Benefits

• Health insurance • Flexible work arrangements