Health Care Customer Service Advocate
About the Company: We are seeking a dedicated Healthcare Customer Service Representative to join our team. This role involves assisting members with inquiries related to their insurance plans, eligibility, benefits, and claims. The ideal candidate will have a strong understanding of various insurance plan types and excellent communication skills.
About the Role: Healthcare Basics
? Recognize and understand various insurance plan types, including Commercial, Individual Products, HIX, and Government Plans (Medicaid/Medicare).
? Familiarity with common insurance terminology and procedures.
Key Responsibilities: ? Phone Skills ? Receive and respond to member inquiries via inbound calls using NICE inContact - Max Agent. ? Make outbound calls to members, vendors, and other departments. ? Follow established call flow processes for member interactions. ? Understand and apply protocols for using the language line for effective communication. ? * Eligibility and Enrollment ? Verify member status, including ID numbers and personal information, using Salesforce, CSC, and QNXT. ? Confirm member eligibility and plan effective dates. ? Manage member correspondence, including sending plan documents and updating demographics.
Similar Remote Jobs
Health Care Customer Service Advocate
Posted on: 30-11-2024 09:47
Receptionist at Honda of Ocala
Posted on: 30-11-2024 09:47
Crew Member - South Pine
Posted on: 30-11-2024 09:47
Licensed Insurance Representative - Onsite
Posted on: 30-11-2024 09:47
Postal Mail Processor-No experience required
Posted on: 30-11-2024 09:47
Service Delivery Tier 2 Analyst
Posted on: 30-11-2024 09:47
Fully Remote Work Mailroom Clerk
Posted on: 30-11-2024 09:47
Senior Business Risk Control Specialist
Posted on: 30-11-2024 09:47
Group Accounting Specialist- Remote Opportunity
Posted on: 30-11-2024 09:47
Quality Assurance Associate - MT/Editor
Posted on: 30-11-2024 09:47
Customer Service Rep. I
Posted on: 16-07-2024 18:43
Delta Remote Live Chat Agent Jobs (No Experience Needed)
Posted on: 12-09-2024 00:00
Remote Essay Editing Tutor
Posted on: 17-12-2024 18:01
Yelp remote jobs removing spam
Posted on: 31-01-2025 09:58
Virtual Insurance Advocate for Life & Health
Posted on: 23-02-2025 00:00
Senior Database Engineer, IT - Remote
Posted on: 03-10-2024 00:00
Hybrid Psychics & Tarot Readers - Openings for Daily or Weekly Pay Work at Home Psychics & Tarot Readers - Openings for Daily or Weekly Pay Work at Home
Posted on: 02-01-2025 03:59
Virtual Receptionist ? GA / TX / NC
Posted on: 24-01-2025 00:00
Senior Manager of Business Development ? Amex Offers & Ads
Posted on: 24-01-2025 00:00
Bilingual Customer Service Representative
Posted on: 25-09-2024 00:00