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Care Guide Advocate

1 hour, 9 minutes ago
United States
Full-time
Junior
Customer Support
Customer and Technical Support
HIPAA
Apply Now
Evry Health

Evry Health

Evry Health is a modern health insurance company that prioritizes delivering great benefits at affordable prices. They offer a unique approach to health insurance by focusing on making members healthier and happier through personalized care from a dedi...

Insurance
11-50
Founded 2017
$7M raised
View All Jobs 4

Description

  • Provide professional, empathetic customer service to patients and providers by phone and email.
  • Assist members with detailed provider searches using network look-up tools.
  • Help members navigate digital programs and route escalations and questions.
  • Contact provider offices or facilities to obtain prior authorization materials, medical records, forms, facility location, or Tax ID numbers for claims billing.
  • Assist with claims-related work such as adjusting site of service.
  • Protect patient privacy and confidentiality in accordance with HIPAA and internal policies.
  • Ensure compliance with URAC and NCQA accreditation guidelines and applicable state and federal regulations.

Requirements

  • High school diploma.
  • 2-3 years of customer service experience.
  • Strong computer skills and experience with electronic medical records.
  • Intermediate knowledge of Microsoft Windows.
  • Exceptional verbal and written communication skills.
  • Ability to work effectively and flexibly in a fast-paced environment with competing priorities.
  • Experience in a health insurance plan is preferred.
  • Experience with medical office or customer support is preferred.
  • Associate’s degree in a medical field is preferred.
  • Must reside in the United States within the Central (CST) or Eastern (EST) time zone.
  • Must be available for standard business hours Monday through Friday, 9:00 AM–5:00 PM CST, with occasional flexibility for regulatory response deadlines.
  • Must maintain a dedicated, private workspace separate from other living areas.
  • Must have a reliable high-speed internet connection.

Benefits

  • Fully remote work arrangement.
  • Standard Monday through Friday business hours.
  • Opportunity to work with a mission-driven health insurance company focused on expanding benefits, access, and transparency.

Interested in this position?

Apply directly on the company website

Apply Now

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