Remote Customer Service Advocate Jobs in Arkansas

Must have knowledge of basic spreadsheet, word processing, and data entry skills.

Must have strong organizational skills and be able to effectively manage and prioritize tasks.

High School Diploma or the equivalent plus a minimum of one year medical terminology or medical services experience required.

Must be proficient and comfortable in a computer based environment. Experience in a call center environment preferred.

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

Document and manage cases within applicable systems by reviewing, updating, and closing daily

Bachelor’s degree preferred or 4 years equitable business experience required

1-2 years of multi-channel customer service experience

1-2 years of prior customer facing HCM or Paycor experience is a plus

Proven excellence in customer service and relationship building skills required

Effective organizational skills proven in a fast-paced, service-oriented position

Insurance, benefits, claims or medical/healthcare experience a plus, but not required.

Prior customer service experience working in a call center or in a position that entails handling calls is required.

Excellent communication skills necessary to be successful.

Please note that this position will be fully remote and open to those living within the U.S.

Handling call volumes averaging 30/calls per day and will be documenting all inquiries using our internal systems.

Working with your support team to appropriately refer unresolved inquiries or escalated calls based on customer service procedures and guidelines.

Meeting monthly service objectives as outlined by management

Essential Job Duties & Responsibilities

Offering prayer to all members and providers at every appropriate opportunity

Two (2) years customer service experience in a medical, dental, optical or related setting required

Two years high volume contact center experience preferred

Strong knowledge of computer hardware and software

Determines contract and benefit eligibility; provides authorization for inpatient admission, outpatient certification and/or prior authorization requests.

Initiates and manages clinical referrals for members.

What are your key responsibilities?

Acts as a liaison between hospitals, physicians, health plans, vendors, patients, or referral sources.

Verifies and obtains authorizations if needed. Enters referrals and documents communications, actions, and other data in departmental systems.

Refers cases requiring clinical review to appropriate clinical professionals.

Sales or account management experience

New York residents' salary range is $16.00 - $31.44, based on factors such as education, work experience, and certifications

3+ years of combined education, work, and/or volunteer experience

Respond to and resolve customer service inquiries and issues related to benefits, eligibility, claims, and financial spending accounts

High School Diploma / GED or equivalent work experience

Familiarity with medical terminology, health plan documents, or benefit plan design in a healthcare/insurance environment

Strong organizational skills and able to effectively manage and prioritize tasks.

Minimum of one year medical terminology, healthcare or medical services experience required.

Experience in a call center environment preferred.

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

Responsible for servicing patients making incoming calls with questions and/or returning messages for their Nurse Coach.

What We Can Offer YOU!

IMPORTANT FOR YOU TO KNOW:

What You Will Be Doing:

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