Healthcare Customer Service Advocate

Job Summary

Providing exceptional support to healthcare providers, the full-time Healthcare Customer Service Advocate will handle inquiries related to claims, appeals, and payment concerns remotely, ensuring timely resolution and high customer service standards.

Key Responsibilities

• Serve as the primary point of contact for healthcare providers regarding claims-related inquiries
• Respond to inquiries about claim status, payments, appeals, and Explanation of Benefits (EOBs) via various communication channels
• Investigate and resolve provider inquiries by coordinating with internal teams and maintaining accurate documentation of interactions

Required Qualifications

• High school diploma or equivalent; college degree is an advantage
• At least 4 years of experience in a healthcare contact center, provider services, or claims support environment
• Basic knowledge of healthcare claims, EOBs, appeals, and payment processes is preferred
• Proficiency in MS Office and online systems
• Ability to work flexible shifts, including nights, weekends, and holidays