Member Services Advocate Jobs

Strong time management skills required. Must be able to prioritize and adhere to competing deadlines.

2+ years healthcare experience or educational equivalent

Expert/Highly Skilled with computer skills: Windows-based applications and Microsoft applications

Advanced organizational and communication skills

Four-year advanced degree or equivalent work experience in healthcare payors, social services field, advocacy, customer relations, or other related industry

Skill in establishing priorities with independent coordination of day-to-day duties

Minimum 1 year work experience.

Great communication and problem solving skills

Full range of benefits including Health, Dental and Vision with HSA Employer Contributions and Dependent Care FSA Employer Match.

Advancement opportunities, professional skills training, and tuition Reimbursement

Handle various communication channels with providers, including inbound and outbound provider calls which involve researching, resolving, and documenting issues.

Analyze data and determines if CareCentrix claims processing guidelines have been followed correctly by researching plan, eligibility, and patient authorization information.

Some knowledge of healthcare and/or insurance benefits preferred.

Give feedback to the product team about member support issues so they can design better experiences.

Bachelor’s degree with 2 years of related experience in social work, patient advocacy, or health coaching preferred.

Help new customers with their onboarding, making sure members understand and select appropriate health plans and other steps.

Generally strive to make sure members feel taken care of and love our service.

Strong preference for candidates fluent in Spanish and English.

Excellent critical thinking and time management skills with ability to meet tight deadlines

Document all communications and outcomes within EmpiRx Health care management tool

Vast experience in a customer or client service role and a deep understanding of what it means to be concierge

Excellent written and verbal communication skills required

Communicate with members, provider offices, in-network pharmacies and vendors supporting differentiating EmpiRx Health programs and initiatives

Serve as a liaison and advocate for member, pharmacy and vendors

Four (4) years of administrative and/or customer service experience or equivalent combination of education and experience required.

Assist members with day-to-day benefits and healthcare-related questions and/or issues

Conduct member contacts related to benefit support, referral follow-up, and resource inquiries

Experience working in a Call Center Environment required

One (1) year of experience working in the Health Care industry required

Excellent oral and written communication skills

Manage assigned member caseload via high-touch advocacy model with a focus on elevating the member experience and promoting engagement.

Apply strong knowledge of HIPAA regulations

Experience in delivering client-focused solutions based on customer needs

Experience in billing, insurance, healthcare or legal environments a plus

Excellent written and verbal communication skills

Multiple Health Plan Options, including a 100% Employer Paid Benefit Options