Job description

CONTINENTAL UNITED STATES ONLY

**Remote Call Center Environment** We are looking for service-oriented individuals with the ability to consistently provide excellent customer care while addressing diverse needs of members, and thrive in a fast paced environment.

Why is Health Advocate a great place to work? For starters, Health Advocate employees enjoy helping people every single day. Employees are given the training they need to do their jobs well, and they work with supervisors and staff who are supportive and friendly. Employees have room to grow, and many of Health Advocate's supervisors are promoted from within the company.

Summary of Role

Responsible for handling assigned claims cases in a timely manner to identify opportunities to resolve the issue by working with plan documents, carriers, providers, and members; research billing issues to determine the possible cause of the error and assist with claims resubmission when needed to correct the issue; assist members with setting up payment arrangements which may include reaching out to healthcare providers to determine payment options and discussing options with supervisor; exercise exceptional customer service skills in an effort to optimize each contact with the member.

Your Success

As a work from home associate, you’ll deliver a positive experience that solves members’ needs/challenges, while working to resolve issues.

Health Advocate offers all work equipment and a comprehensive new-employee training program to help you develop the knowledge and skills that will set you up for success in your role and in supporting our members.

Invested in you

At Health Advocate, you’ll have the ability to pursue your ambitions and grow your career. We’ve got you covered with a total rewards package that includes Robust Medical coverage, as well as Dental & Vision benefits, tuition assistance, 401(k) savings plan with company match, paid time off (PTO), paid holidays, Employee Assistance Programs and Wellness Programs.

Hours/Shift

This position is full-time (40 hours/week) Monday - Friday. Employees have flexibility to work any of our 8.5 hour shift schedules during our normal business hours of (8:00 am -10:00 pm EST). It may be necessary, given the business need, to work occasional overtime.

Major Accountabilities

• Handle assigned cases in a timely manner to identify opportunities to resolve the issue by working with plan documents, carriers, providers, and members
• Research billing issues to determine the possible cause of the error and assist with claims resubmission when needed to correct the issue
• Assist members with setting up payment arrangements which may include reaching out to healthcare providers to determine payment options and discussing options with supervisor
• knowledge of Flexible Spending Accounts (FSA), Health Reimbursement Accounts (HRA), Health Spending Accounts (HSA), and benefits Summary Plan Descriptions (SPD) to resolve billing issues
• Exercise exceptional customer service skills in an effort to optimize each contact with the member

Related Duties as Assigned

MINIMUM QUALIFICATIONS

Applicant for this job will be expected to meet the following minimum qualifications.

Education

• High School Degree or GED required
• Associate degree from an accredited college or university with major course work in business administration, liberal arts, public health, healthcare management, or a related field is preferred.

Experience

• Minimum of one year customer service, healthcare, or claims processing experience required.
• Basic Knowledge of MS Word and Excel required

Knowledge of the following is preferred:

• Affordable Care Act (ACA) (Marketplace Navigation and Exchange plan review and comparison)
• Medicare (Part A, Part B, Part D, Advantage and MediGap Plans)
• Group Benefits (Fully Insured vs. Self-Insured)
• Medical Benefits (CDHP/HDHP, PPO, POS, and HMO Plans)
• Pharmacy Benefits
• Dental Benefits
• Vision Benefits

Learn more

Health Advocate https://www.healthadvocate.com/site/

Facebook https://www.facebook.com/healthadvocateinc/

Video https://vimeo.com/386733264/eb447da080

Awards

2021:

• Stevie® Awards for Sales & Customer Service: Customer Service Department of the Year – Healthcare, Pharmaceuticals, and Related Industries, Silver Winner
• Stevie® Awards for Sales & Customer Service: Most Valuable Response by a Customer Service Team (COVID-19), Bronze Winner
• Best in Biz Awards: Most Customer-Friendly Company of the Year – Medium and large category (Silver)

2020:

• National Customer Service Association All-Stars Award: Organizations of 100 or Greater, Runner-Up
• Best in Biz Awards: Most Customer-Friendly Company of the Year - Medium category (Silver)

Health Advocate is an Equal Opportunity Employer that does not discriminate on the basis of race, color, sex, age, religion, national origin, citizenship status, military service and veteran status, physical or mental disability, or any other factor not related to job requirements. We respect and value diversity, and are committed to the principles of Equal Employment Opportunity.

Job Type: Full-time

Pay: From $19.00 per hour

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Employee assistance program
• Employee discount
• Flexible spending account
• Health insurance
• Health savings account
• Life insurance
• Paid time off
• Referral program
• Vision insurance

Physical setting:

• Call center

Schedule:

• 8 hour shift
• Day shift
• Monday to Friday

Education:

• High school or equivalent (Required)

Experience:

• Customer service: 1 year (Required)

Work Location: Remote

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