RemoteLeaf Logo
Log in Sign up

Member Care Advocate (MCA)

1 month ago
United States
Full-time
Junior
Customer Support
Customer and Technical Support
HIPAA
Apply Now
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
View All Jobs 24

Description

  • Answer inbound member calls with empathy, clear communication, and a member-centered approach.
  • Explain benefits coverage, cost-sharing concepts, eligibility details, and other core healthcare questions.
  • Find and confirm in-network providers, update account information, and provide status updates on open requests.
  • Guide members through standard enrollment or scheduling steps for programs such as virtual care.
  • Resolve well-defined issues end to end using established workflows, scripts, and resources.
  • Educate members to reduce confusion and prevent repeat contacts.
  • Use internal systems, knowledge bases, and carrier portals to research questions and determine next steps.
  • Document member interactions and follow-up actions accurately and concisely.
  • Meet quality audit and member satisfaction expectations while representing Included Health’s mission.
  • Escalate or summarize issues for follow-up by other teams when needed.

Requirements

  • Bachelor’s degree and at least 2 years of customer service or healthcare experience, or 5 years of relevant healthcare or benefits navigation experience.
  • Comfortable handling a high volume of inbound calls throughout the day using VoIP phone systems such as CXOne.
  • Strong familiarity with Google Workspace, Apple products, and CRM software.
  • Ability to learn proprietary tools quickly.
  • Exceptional customer service skills with the ability to de-escalate challenging situations and maintain a professional, friendly demeanor.
  • Strong verbal communication skills to explain benefits, processes, and next steps clearly and confidently.
  • Strong written communication skills in English for accurate documentation.
  • Ability to think critically within defined workflows and use available resources to resolve well-scoped issues.
  • Ability to gather information, ask clarifying questions, and structure clear summaries for handoff when needed.
  • Understanding of HIPAA guidelines and commitment to maintaining member confidentiality.
  • Ability to work from a secure, distraction-free home office with reliable internet.
  • Ability to complete the 3-week paid training period with no planned time off; training runs 10 a.m. - 7 p.m. EST, Monday through Friday.

Benefits

  • Hourly pay of $21.00 for the contract role.
  • Eligibility to transition to a permanent position after 5 months of contract work.
  • Medical, dental, and vision insurance.
  • Free virtual primary care, urgent care, and behavioral health through Included Health’s own product from day one.
  • Employee Assistance Program and the Golden Ticket program for family and friends.
  • Work-from-home stipend to cover internet expenses.
  • 401(k) plan with a 50% company match on contributions up to 6%.
  • Paid time off, generous parental leave, company-wide holidays, and paid volunteer time.
  • Career advancement and professional development opportunities.

Interested in this position?

Apply directly on the company website

Apply Now

Similar Roles

Carvana

Customer Service Delivery Advocate

Carvana 10K-50K Automotive

Carvana is hiring Customer Advocates to deliver vehicles, complete customer paperwork, and support the car-buying experience for customers in a field-based role.

United States Full-time Junior Customer Support
$50k-$54k
15 minutes ago
Virtual Assistance Services

Customer Solutions Specialist

Virtual Assistance Services 11-50 Professional Services

Customer Solutions Specialist role with an Australian gifting, homewares, and kitchenware distributor, focused on managing day-to-day customer service, order processing, and claims resolution to meet customer and consumer expectations.

Philippines Full-time Junior Customer Support
SAP
54 minutes ago
AlphaSense

Analyst, Customer & Product Support

AlphaSense 251-1K Internet Software & Services

AlphaSense is hiring an Analyst, Customer & Product Support to provide frontline support for its AI-driven market intelligence platform, helping customers resolve issues, maximize product value, and inform future product improvements.

India Full-time Junior Customer Support
1 hour, 6 minutes ago
A

Customer Service & Reservations Associate (Remote)

Aisle and Abroad Travel & Tourism

Georgia Deidre is hiring a fully remote Customer Service & Reservations Associate to manage client inquiries and reservation coordination while ensuring accurate, timely, and positive service experiences.

Georgia Full-time Entry Level Customer Support
$45k-$70k
1 hour, 20 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