Claims Support Advocate

We are seeking an experienced professional to join a growing, full remote health plan as a Claims Support Advocate. This position is 100% remote.

Are you ready for your next career as a Claims Support Advocate? We are dedicated and devoted to consistently improving the culture of our team and focus on finding the "right people" - not just the right resume!

Apply today if you are interested in getting your name in the mix!

Claims Support Advocate - Job Overview:

• Primary objective is to provide effective and timely customer service for members, providers, insurer and clients regarding health care claims
• Handle all communication, paperwork, and negotiations with a health insurance carrier or provider on the behalf of the plan member
• Ensure timely follow-up on requests for accounts to be reviewed
• Organize health insurance paperwork and medical record documentation
• Negotiate with providers on plan member balances
• Challenge denials of claims by the insurance company
• Communicate with medical offices, hospitals, laboratories, etc... in an effort to obtain relevant records for the patient's case
• Contact providers and insurance companies to resolve claim concerns
• Assist with understanding of explanation of benefits (EOBs)
• Enable members to get the errors fixed and recoup or lower their expenses by resolving their: medical bills, denied medical claims, medical letters of appeal
• Analyze and identify trends and patterns related to member billing complaints
• Demonstrate knowledge of proprietary software and other required technology (Google apps, etc)

Claims Support Advocate - Schedule:

Monday-Friday 8:00am to 5:00pm in your local time zone with a lunch break

Claims Support Advocate - Pay & Benefits:

• $19.50-21/hr based on experience
• 401(k)
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Claims Support Advocate - Requirements:

For California Applicants:

We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance (FCIHO), Los Angeles Fair Chance Ordinance for Employers (ULAC), The San Francisco Fair Chance Ordinance (FCO) , and the California Fair Chance Act (CFCA).

This position is subject to a background check based on its job duties, which may include patient care, working with vulnerable populations, access to financial and confidential information, driving, working with heavy machinery, or working in a warehouse or laboratory environment. Due to these job duties, this position has a significant impact on the business operations and reputation, as well as the safety and well-being of individuals who may be cared for as part of the job position or who may interact with staff or clients.