Health Care Customer Service Advocate

Job Highlights:

• Start Date: Immediate openings available
• Compensation: a competitive salary
• Company: Pathremotenetwfh
• Location: Remote
• Position: Health Care Customer Service Advocate

 

---

 

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!

 

Don't Hesitate, Apply!

Don't worry if you don't meet every single requirement. We value a great attitude and a willingness to learn above all. Submit your application today!