Health Care Customer Service Advocate

Remote, USA Full-time Posted 2025-04-26

About the Company: We are seeking a dedicated Healthcare Customer Service Representative to join our team. This role involves assisting members with inquiries related to their insurance plans, eligibility, benefits, and claims. The ideal candidate will have a strong understanding of various insurance plan types and excellent communication skills.

About the Role: Healthcare Basics
? Recognize and understand various insurance plan types, including Commercial, Individual Products, HIX, and Government Plans (Medicaid/Medicare).
? Familiarity with common insurance terminology and procedures.

Key Responsibilities: ? Phone Skills ? Receive and respond to member inquiries via inbound calls using NICE inContact - Max Agent. ? Make outbound calls to members, vendors, and other departments. ? Follow established call flow processes for member interactions. ? Understand and apply protocols for using the language line for effective communication. ? * Eligibility and Enrollment ? Verify member status, including ID numbers and personal information, using Salesforce, CSC, and QNXT. ? Confirm member eligibility and plan effective dates. ? Manage member correspondence, including sending plan documents and updating demographics.

Apply Job!

Apply for the Job

No Experience Needed Part Time Home Based Jobs: Remote Work: Live Chat Agent Position Paying $25-$35/Hour ? Remote Job Central

Posted on: 31-01-2025 10:02

Hiring Remote Pharmacy Technicians With Added Benefits+ Equipment Provided!

Posted on: 23-02-2025 00:00

Health Care Customer Service Advocate

Similar Remote Jobs