Claims Support Advocate (Temp)

2 months, 3 weeks 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

Similar Roles

Customer Service Representative, Member Care

Sidecar Health 51-250 Insurance

Sidecar Health is hiring a Member Care Representative to support members through calls, chats, and tickets by explaining plans, resolving claims-related issues, and improving their healthcare experience.

4 hours, 20 minutes ago

Member Support Specialist

Trust & Will 51-250 Specialized Consumer Services

Trust & Will is hiring a remote-first Customer Support Specialist to serve as the first point of contact for members, resolve product and estate-planning questions, and help make digital estate planning accessible to more families.

Notion
4 hours, 35 minutes ago

Product Support Specialist - Adapt (LATAM & Caribbean)

AirDNA 51-250 IT Services

AirDNA is hiring a fully remote Product Support Specialist in Latin America or the Caribbean to investigate complex Adapt dynamic-pricing issues, resolve escalations, and prevent recurring problems for short-term-rental hosts.

Python SQL
4 hours, 35 minutes ago

Associate Billing Specialist

Cloudbeds 251-1K Internet Software & Services

Cloudbeds is hiring an Associate Billing Specialist to support customers and internal teams with billing and subscription inquiries, maintain accurate subscription records, and improve billing processes for its remote global hospitality technology platform.

4 hours, 35 minutes ago

You're on a roll! Sign up now to keep applying.

Sign Up

Already have an account? Log in

Used by 14,729+ remote workers