Granted
Healthcare
HealthcareAdvocate(MedicalCoding)
Neural analysis suggests this role is
optimal for Mid candidates.
“Healthcare Advocate (Medical Coding) at Granted. Skills: Medical coding accuracy validation, Billing error identification and dispute, End-to-end case ownership, User advocacy. Own high-impact medical billing and insurance cases end-to-end. Validate billing on an EOB against received care”
What You'll Achieve.
Accountable for timely, accurate outcomes and a high-quality user experience, even when the path is unclear
Industry & Context.
Assess whether the procedure, diagnosis, and modifier codes on an EOB are consistent with the service described, the setting of care, and what the patient reports actually happened at the visit; Identify coding conflicts, such as unbundling, upcoding, mutually exclusive codes, or CPT/ICD-10 combinations that don't hold up, and escalate or dispute them with the appropriate party; Decide how to route each situation (provider billing department, insurer, collections, employer plan, or user education) and what 'done' looks like; Thrive in ambiguity, and move cases forward with a bias for action, choosing the right next step, without perfect information
Flexible schedule to work 40 hours between 7am - 8pm EST, 7 days/week, Either work Sunday – Thursday, 9am–6pm, or Tuesday – Saturday, 10am–7pm
What They're Looking For.
Must Have
2+ years of experience in patient/healthcare advocacy, medical billing, or health insurance, 2+ years of hands-on experience in medical billing or coding, Comfortable working directly with provider offices, health insurers and debt collection groups, including phone-heavy follow‑up and clear escalation when needed, Communicate with empathy and clarity, especially when delivering hard news or complex explanations, Thrive in ambiguity, and move cases forward with a bias for action, choosing the right next step, without perfect information, Take documentation seriously and protect user privacy, with a solid working understanding of HIPAA and PHI handling, Mission-driven and are passionate about helping build a new standard for how people get help navigating U. S. healthcare
Nice to Have
Formal coding certification (CPC, CPC-H, or equivalent) is a plus but not required, Early-stage (Series or earlier) or healthtech startup experience, CPC, CPC-H, CBCS, or equivalent medical coding certification, Demonstrated track record of catching billing errors that reduced patient financial liability, overturned denials tied to coding issues, or corrected claims with incorrect codes, In-depth understanding of how coding intersects with coverage determinations, especially in complex cases involving prior auth, medical necessity language, or claim denials citing incorrect procedure codes, Experience with Medicare, Medicare Advantage, and/or Medicaid billing rules, including how coding guidelines differ across payer types
What You'll Do.
Own high-impact medical billing and insurance cases end-to-end
Validate billing on an EOB against received care
Catch code-level errors driving incorrect charges
Resolve complex user cases end-to-end
from AI handoff through final outcome
Review EOBs for coding accuracy: verify that CPT
and modifier codes match the care actually received
and the setting of care
Identify and flag code-level billing errors: duplicate billing
mutually exclusive code pairs
incorrect place-of-service codes
and procedure/diagnosis mismatches
Contact providers and insurers via phone
and fax to verify coverage
correct claim and billing issues
and unblock next steps
Investigate and triage issues across benefits
and payment responsibility
Communicate clearly with users
and explaining options in plain language
Maintain high-quality case notes
Continuously learn healthcare regulations
and internal playbooks
and apply that learning quickly
How You'll Work.
Team & Collaboration
Partner closely with Product and Engineering to turn frontline learnings into better workflows and a better user experience; Collaborate with other healthcare advocates, identifying repeat billing patterns, tightening workflows, and helping build playbooks that scale; Partner with Product and Engineering to turn real case patterns into product improvements and better automation
Communication Scope
Communicate with empathy and clarity; Communicate clearly with users, setting expectations, sharing progress, and explaining options in plain language
Full Job Description
💡 MISSION The US healthcare system is complex, error-prone, and financially draining. Medical bills and insurance coverage shouldn’t be this hard to navigate. At Granted, we’re building the one solution every American can turn to for help. Thanks to AI and new regulations, Granted can fight claim denials, correct billing errors, negotiate bills, and make coverage easier to understand—saving people time, money, and stress. Our goal is simple: to be the #1 platform that empowers all Americans to take charge of their healthcare 🩺 ABOUT US Founded by a former Oscar Health leader, we’re a seed-stage company with $17M in funding. We’re lucky to be backed by the founders and investors at Hugging Face, Rocket Money, Oscar Health, CaseText, Forerunner Ventures, RRE Ventures, and more. We are well-funded for the next few years. 🔎 ABOUT THE ROLE The Customer Experience (CX) team delivers high-quality support that helps Granted users navigate the U.S. healthcare system with less time, cost, and stress. We're growing quickly, and we're hiring Healthcare Advocates (HA) to take on more complex cases and raise the bar on what "great support" looks like as we scale. As a HA, you'll own high-impact medical billing and insurance cases end-to-end. Our AI agent will handle the initial intake and information gathering, then hand cases to you when judgment, persistence, and human advocacy are needed to get to resolution. A core part of this role is validating that the billing on an EOB actually reflects the care the patient received, catching code-level errors that drive incorrect charges before they become bigger problems. You'll work on a small, high-trust team and partner closely with Product and Engineering to turn frontline learnings into better workflows and a better user experience. What you’ll own: - You will own a case from handoff to resolution, including next steps, outreach strategy, documentation, and follow-through. - You will assess whether the procedure, diagnosis, and
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