Nurse Practitioner

Patient PAL is dedicated to making your healthcare a piece of cake. We provide patient advocacy and healthcare claims negotiation services through compassionate healthcare professionals who understand the challenges faced when desiring to provide the best health care treatment available for someone in need. Our flagship patient advocacy program empowers thousands of members to navigate their healthcare journey with support and confidence.

We are seeking a compassionate and clinically skilled Nurse Practitioner Specialist to join our remote team. In this role, you will serve as a clinical advocate for Patient PAL members. You will review complex medical cases, interpret clinical data, communicate with treating physicians, and support claims negotiation efforts by providing expert clinical perspectives. Your goal is to ensure members receive appropriate, timely, and high quality care while helping them navigate insurance denials, treatment authorizations, and medical billing disputes.

Conduct remote clinical assessments of Patient PAL members by reviewing medical records, diagnostic test results, and treatment histories. Communicate directly with members via secure telehealth platform to understand their health concerns, treatment goals, and barriers to care. Collaborate with the claims negotiation team to provide clinical justification for appealed insurance denials, prior authorization requests, and out of network coverage exceptions. Identify gaps in care, potential misdiagnoses, or alternative treatment options that align with evidence based practice. Serve as a liaison between members, their families, and treating physicians to clarify treatment plans and coordinate second opinions when needed. Educate members on their health conditions, prescribed medications, and recommended procedures to empower informed decision making. Document all clinical findings, recommendations, and advocacy actions in the Patient PAL electronic system. Stay current on clinical guidelines, insurance coverage policies, and healthcare regulations affecting patient access to care. Participate in weekly virtual team meetings to discuss complex cases and improve advocacy strategies.