Claims Support Advocate (Temp)

1 month ago
Contract
Junior
Customer and Technical Support
Included Health

Included Health

Included Health is a healthcare company that provides cost-saving solutions for employers and health plans. They offer virtual care and navigation services, connecting millions with board-certified doctors and specialists for comprehensive and convenie...

Insurance
1K-5K
$106M raised

Description

  • Provide timely customer service to members, providers, insurers, and clients regarding healthcare claims.
  • Follow up on requests for accounts to be reviewed and keep cases moving within service level agreements.
  • Organize health insurance paperwork and medical record documentation.
  • Use proprietary software and tools such as Google apps and Slack to manage work.
  • Communicate status updates to patients throughout the claims process.
  • Negotiate with providers on member balances and resolve claim concerns with insurers.
  • Appeal claim denials and assist members with claim errors, denials, and explanation of benefits questions.
  • Collaborate with peers and management across functions to adapt processes to changing business needs.
  • Maintain professionalism, persuasion, and strong member interactions in a fast-paced environment.
  • Complete other duties and responsibilities assigned by leadership.

Requirements

  • 1 year of experience in customer service roles.
  • 3 years of revenue cycle or carrier experience.
  • Prior work experience in a claims support and health insurance role.
  • Ability to take meticulous notes and document actions taken.
  • Strong communication, problem-resolution, organizational, written, and verbal skills.
  • Ability to meet goals in a rapidly changing environment.
  • Excellent data and analytical skills.
  • Proven time management and prioritization skills.
  • Ability to troubleshoot basic technical issues.
  • Medical billing/coding certification (CPC) is beneficial, but not required.
  • College degree preferred; additional experience in lieu of a degree will be considered.

Benefits

  • Full-time contract position.
  • Hourly pay of $22.08 per hour.
  • Pay is structured by geographic zone and determined by location, skills, experience, and internal equity.
  • Opportunity to work for Included Health, an integrated virtual care and navigation company.
  • Equal opportunity employer consideration without regard to protected characteristics.

Interested in this position?

Apply directly on the company website

Apply Now

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