On behalf of HealthTech Client #1, SD Solutions is looking for a talented Patient Advocacy Audit Specialist to join the team.The Patient Advocacy Audit Specialist is a quality assurance role responsible for reviewing and auditing the work performed by Patient Advocates. This role ensures that patient advocacy tasks are completed accurately and in alignment with program requirements and client expectations, with a primary focus on identifying revenue recovery opportunities and surfacing actionable findings to leadership. The Audit Specialist does not perform patient-facing activities but instead serves as a quality control function supporting the Patient Advocacy team.SD Solutions is a staffing company operating globally. Contact us to get more details about the benefits we offer.Supporting audit responsibilities are centered on PAP and Copay program workflows, including reviewing completed enrollments, claims, and medication orders for accuracy and task completion. This includes evaluating whether correct rejection reason codes were applied, snooze protocols were followed appropriately, and tasks were completed within required timeframes. Auditors are expected to recognize common miss patterns — such as out-of-retro occurrences, premature closures, and snooze misuse — and flag these findings for Manager review.Responsibilities:MAP Rejection Code Review & Revenue Recovery.Review rejected tasks in MAP on a daily basis to verify that the correct rejection code was applied for each rejected taskIdentify rejection code errors where the underlying enrollment, order, or claim remains actionable and can still be captured — distinguishing miscoded rejections from true terminal rejectionsSurface identified rejection code errors directly to the Director of Patient Advocacy with sufficient detail for Managers to take immediate corrective actionPrioritize findings with active recovery potential to minimize revenue leakage and enable advocates to re-engage eligible patients before program or prescription deadlines lapseTrack patterns in rejection code misuse over time to identify training gaps or systemic coding errors within the advocate teamContinuous Improvement IdentificationDocument and track quality findings to support identification of opportunities to improve patient advocacy workflows, tools, and servicesPrepare audit finding reports and submit structured feedback to the Director of Patient AdvocacyParticipate in calibration sessions to align audit standards with operational expectationsRequirements:Education & Experience.High school diploma or equivalent required; associates degree or higher preferredPrior experience in a healthcare, patient access, billing, or quality assurance environment strongly preferredFamiliarity with patient assistance programs, copay support, or pharmaceutical access programs is a plusExperience with healthcare Electronic Health Records (EHRs) such as EPIC, Cerner, Meditech, or Allscripts preferredTechnical SkillsProficient computer skills with advanced Microsoft Office capabilities (assessment may be administered)Ability to navigate multiple computer systems and platforms simultaneouslyBasic knowledge of medical terminology preferredExperience with audit tools, quality tracking systems, or case management platforms is a plusSoft Skills & AttributesExceptional attention to detail with a sharp eye for errors and inconsistenciesStrong analytical and critical thinking skillsClear written and verbal communication skills for documenting and reporting findingsAbility to work independently with minimal supervision in a remote environmentOrganizational discipline and ability to manage a high volume of audit casesFlexibility to adapt to evolving workflows, program changes, and shifting prioritiesAbout the company:A U.S. healthcare company whose mission centers on simplifying patient access to medical care and financial aid programs. The team connects patients with manufacturers' assistance programs and coordinates medication delivery, aiming to remove financial barriers to treatment.

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HealthTech Client #1 | Patient Advocacy Audit Specialist (PH)

Emma

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www.sdsolutionsllc.com/

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