Claims Support Advocate

Responsibilities

• Provide effective and timely customer service for members, providers, insurers, and clients regarding health care claims
• Negotiate with providers on plan member balances and appeal claim denials from insurance companies
• Organize health insurance paperwork and medical record documentation
• Communicate timely status updates to patients throughout the claims process
• Assist members with understanding explanation of benefits (EOBs) and resolving claim errors or denials
• Contact providers and insurance companies to resolve claim concerns
• Collaborate with peers and management across functions to meet evolving business requirements

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
• Excellent written and verbal communication skills
• Strong analytical, organizational, and problem-resolution skills
• Ability to handle a fast-paced, dynamic environment with competing priorities
• Proficiency with Google apps, Slack, and other required technology

Preferred Qualifications

• Medical billing/coding certification (CPC)
• College degree