Remote Member Benefits Advocate
Insight Global
Job Description
A Day in the Life: The Member Benefit Advocate is responsible for all inbound phone, chat, and email intake for one line of business. This communication comes from both health plan members and providers and can include, but is not limited to, quotation of benefits, eligibility inquiries, claim status, balance billing situations, member plan education, member physician or facility access issues, and other claim-related billing questions. Member Benefit Advocates are responsible for providing members and providers with requested information in a clear, timely, and professional manner. The team member is responsible for making outbound calls to providers, clients, and TPA partners to gather appropriate information or submit requests as needed to reach a timely resolution. The Member Benefit Advocate will also attend various meetings and training sessions to ensure they are fully capable and up to date on job roles and responsibilities.
• Service members as they navigate their employer sponsored healthcare plans by quoting benefits, interpreting plan documents, answering questions regarding claim status and Explanation of Benefit (EOB) documents, and assisting in finding quality care providers.
• Service providers by providing eligibility verification, quoting benefits, and answering questions regarding claim status and pricing inquiries. Additionally, will work with providers on behalf of members to resolve payment-related inquiries.
We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to HR@insightglobal.com.To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/.
Skills and Requirements
2-4 years of experience working for TPAs or insurance carriers as a Member Benefits Advocate
Strong work ethic
High standard for attention to detail
Naturally compassionate and easily able to navigate sensitive, challenging situations with care
High School diploma or equivalent required
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