Customer Advocate I
Core
On-site call center agent assisting members and physicians with health plan benefits, claim statuses, eligibility, and provider network inquiries via phone and written channels.
Role type
entry-level customer service representative (call center)
Builds
inbound and outbound call handling for health plan members and providers
Domain
healthcare insurance / customer service
Deliverable
client delivery
Required skills
telephone communication, data entry, typing, HIPAA compliance, problem solving, organizational skills
Preferred skills
billing experience, medical terminology knowledge, anatomy knowledge, internal sales experience
Responsibilities
fielding high volume of phone calls, analyzing member inquiries, initiating and coding adjustment transactions, collaborating with providers and families, maintaining confidentiality
Seniority
Entry-level, supervised IC