Claims Support Advocate – Temp

This is a fully remote position, open to applicants in United States.

📋 Description

• Deliver prompt and effective customer service for members, providers, insurers, and clients concerning health care claims.

• Ensure timely follow-up on requests for account reviews.

• Organize health insurance documentation and medical records.

• Exhibit proficiency in proprietary software and other necessary technologies (such as Google apps, Slack, etc.).

• Provide timely status updates to patients throughout the claims process.

• Negotiate with providers regarding plan member balances.

• Appeal claim denials issued by the insurance company.

• Reach out to providers and insurance companies to address claim issues.

• Assist in explaining benefits statements (EOBs) to members.

• Help members resolve claim errors or denials.

• Collaborate with colleagues and management across various functions.

• Adapt operational processes to meet the changing business requirements.

• Communicate clearly and confidently while maintaining a professional demeanor.

• Manage a fast-paced, dynamic environment with competing priorities.

• Foster a culture that reflects the core values of the company.

• Acquire and maintain a thorough understanding of team and company policies, processes, and software.

• Perform other duties and responsibilities as assigned by leadership.

⛳️ Requirements

• Minimum of 1 year experience in customer service roles.

• At least 3 years of experience in revenue cycle or insurance carrier environments.

• Strong passion for providing support.

• Previous experience in claims support and health insurance roles.

• Ability to take detailed notes and document actions performed.

• Highly effective communication, problem-solving, and organizational abilities.

• Proven capability to achieve goals in a rapidly evolving environment.

• Excellent data analysis and overall analytical skills.

• Strong written and verbal communication skills.

• Proven history of effective time management and prioritization.

• Ability to troubleshoot basic technical issues.

• Documented success in achieving measurable efficiency results.

• Medical billing/coding certification (CPC) is advantageous, but not mandatory.

• A college degree is preferred (additional experience may be considered in place of a degree).

🏝️ Benefits

• Competitive salary and performance-based incentives.

• Comprehensive health benefits package.

• Opportunities for professional development and growth.

• Flexible work environment.

• Supportive company culture that values teamwork and collaboration.