Healthcare Advocate

The role

You will own complex medical billing and insurance cases from start to finish. You will contact providers and insurers to resolve issues and advocate for users.

What you will do

• Resolve complex user cases end-to-end, from AI handoff through final outcome.
• 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 authorization, billing codes, and payment responsibility.
• Advocate for the user by pushing cases forward with persistence, clear escalation paths, and strong documentation.
• Communicate clearly with users, setting expectations, sharing progress, and explaining options in plain language.
• Maintain high-quality case notes.
• Continuously learn healthcare regulations, payer behavior, and internal playbooks.
• Improve how we operate by collaborating with other Healthcare Advocates, identifying repeat issues, tightening workflows, and helping build playbooks that scale.
• Partner with Product and Engineering to turn real case patterns into product improvements and better automation.

Required qualifications

• 2+ years of recent (within the last 2–3 years) experience in patient advocacy, medical billing, health insurance, provider revenue cycle, or claims resolution.
• Comfortable reading and interpreting Explanation of Benefits (EOBs) and resolving complex billing and insurance issues.
• Experience working directly with provider offices and health insurers.
• Strong understanding of deductibles, copays, coinsurance, prior authorization, appeals, and payment responsibility.
• Excellent written communication skills.
• Comfortable working through ambiguity and determining the next best step independently.

Nice to have

• Experience reviewing CPT, HCPCS, ICD-10, or modifier usage
• Worked at an early-stage startup or enjoy building new processes

About the company

Granted is a seed-stage company with $17M in funding building a healthcare advocacy platform. It was founded by a former Oscar Health leader.