Member Services Advocate

Job Summary

A company is looking for a Member Service Advocate-1 to provide exceptional customer service and support to members navigating the healthcare system.

Key Responsibilities

• Manage inbound calls from members, addressing inquiries related to health insurance benefits, coverage, claims, and eligibility
• Advocate for members by ensuring they receive necessary care and support while resolving issues promptly
• Document member interactions accurately and collaborate with team members to enhance the overall member experience

Required Qualifications

• Associate degree or equivalent work experience required; Bachelor's degree preferred
• 0-2 years of relevant experience required; customer service experience in healthcare preferred
• Knowledge of medical terminology is preferred
• Prior experience in a virtual/remote work setting is preferred
• Proficiency in using computer systems and CRM software to manage member interactions