- Maintain working knowledge of medical care cost databases, tools, and benchmarking platforms.
- Support Care Advocates in identifying fairly priced providers and facilities and evaluating care recommendations.
- Research providers and negotiate transparent cash-pay rates for elective, high-cost surgeries.
- Coordinate procedures, medical records transfers, and pre-surgery requirements with Members and providers.
- Manage Single Case Agreements and bundled cash-pay pricing with providers and external negotiation partners.
- Coordinate with Care Advocates and Crowdfunding Specialists on Member communication, case navigation, funding timelines, and approvals.
- Handle pricing disputes and escalated complaints, and escalate unresolved cases to leadership.
- Explain negotiation outcomes to Members and manage required documentation, including HIPAA releases and ACH forms.
- Maintain records of payment terms, deposits, settlements, and case progress.
Microsoft Excel