Member Care Advocate

Job Summary

To support a growing mission in healthcare, the part-time contract Member Care Advocate will provide empathetic support to members navigating their benefits and care options while working remotely in a high-volume environment.

Key responsibilities

• Provide member-centered support through inbound calls and chats, ensuring clear communication and understanding of healthcare benefits
• Resolve core member issues by explaining benefits coverage, confirming in-network providers, and guiding members through available programs
• Document interactions accurately and leverage tools to research questions, ensuring continuity of care and meeting quality audit expectations

Required qualifications

• Bachelor's degree with a minimum of 2 years of customer service or healthcare experience, or 5 years of relevant experience in healthcare or benefits navigation
• Experience handling high volumes of inbound calls using VoIP phone systems
• Strong familiarity with Google Workspace, Apple products, and CRM software
• Demonstrated ability to think critically within defined workflows and maintain member confidentiality in accordance with HIPAA guidelines
• Ability to work from a secure, distraction-free home office with reliable internet