Advocacy Operations Specialist
Core
Domain authority for AI bill analysis and healthcare advocacy operations, defining rules for bill lowering and training the advocate team.
Role type
Senior Healthcare Operations Specialist (AI Product Partner)
Builds
AI bill analyzer logic, advocacy playbooks, and training programs for the Healthcare Advocate team
Domain
US Healthcare, Revenue Cycle Management, Patient Financial Services
Deliverable
production ML models
Required skills
Medical billing expertise (CPT, ICD-10, HCPCS), EOB analysis, denial/appeals management, financial assistance policy knowledge, No Surprises Act compliance, provider negotiation, training program development, QA methodology
Preferred skills
Provider-side and payer-side billing experience, healthcare automation tooling, AI/agent tools in billing contexts, early-stage startup experience
Technologies
GrantCentral, AI bill analyzer
Responsibilities
Review and classify uploaded bills for lowerability, conduct weekly QA on advocate and AI casework, manage escalations for complex cases, develop training and onboarding materials, partner with product on AI bill analyzer features, publish weekly operational reports
Seniority
Senior, hands-on IC with product partnership
