Health Care Customer Service Advocate

Remote, USA Full-time Posted 2025-06-22

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.

Apply Job!

Apply for the Job

Health Care Customer Service Advocate

Similar Remote Jobs

Health Care Customer Service Advocate

Receptionist at Honda of Ocala

Crew Member - South Pine

Licensed Insurance Representative - Onsite

Postal Mail Processor-No experience required

Service Delivery Tier 2 Analyst

Fully Remote Work Mailroom Clerk

Senior Business Risk Control Specialist

Group Accounting Specialist- Remote Opportunity

Quality Assurance Associate - MT/Editor

VP, Public Cloud Engineering

NOW HIRING! Fully REMOTE Special Education Teacher | Butler Area, PA

Microsoft Dynamics 365 CE Sr. Technical Architect (Remote)

Senior Engineer, Workflow Platform [REMOTE]

Senior IT Operations Engineer | Duckduckgo | $176k ? $176k | Remote (Worldwide)

Manager, Social Media - Remote

Customer Engineer, Security, Public Sector

Amazon Product Tester ? Work From Home Opportunity

Group Director, New Business Development

Travel Executive - Remote