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Health Care Plan Advocate
4 months ago
Z Health is seeking a compassionate and dedicated Healthcare Plan Advocate to join our team. As a Healthcare Plan Advocate, you will play a crucial role in supporting our members to navigate their healthcare plans effectively, ensuring they receive the best possible care and assistance. If you are passionate about helping others and have a strong understanding of healthcare systems and insurance plans, we want to hear from you
**Responsibilities**:
- Serve as a primary point of contact for Z Health members, providing guidance, support, and advocacy to ensure they understand and maximize their healthcare benefits.
- Assist members in selecting appropriate healthcare plans based on their needs, preferences, and eligibility criteria.
- Educate members on their healthcare benefits, coverage options, and cost-sharing responsibilities in a clear and empathetic manner.
- Advocate on behalf of members to resolve issues related to claims, billing, denials, and coverage disputes, working closely with internal teams and external stakeholders as needed.
- Collaborate with healthcare providers, insurers, and third-party administrators to coordinate care and address member inquiries and concerns effectively.
- Conduct thorough reviews of healthcare plan documents and policies to ensure members receive accurate and timely information.
- Assist members with enrollment processes, eligibility verification, and renewal procedures during open enrollment periods.
- Document all member interactions, inquiries, and resolutions accurately and maintain confidentiality of member information.
- Stay updated on changes to healthcare laws, regulations, and industry trends that may impact member coverage and benefits.
- Participate in training sessions and professional development activities to enhance knowledge and skills in healthcare advocacy and member support.
**Requirements**:
- High school diploma or equivalent.
- Previous experience in healthcare advocacy, customer service, or related role is advantageous.
- Strong understanding of healthcare insurance plans, including Medicare, Medicaid, and private insurance.
- Excellent communication skills, both verbal and written, with the ability to convey complex healthcare concepts in a clear and empathetic manner.
- Empathetic and patient-centered approach to assisting members with diverse backgrounds and healthcare needs.
- Ability to work independently and collaboratively in a fast-paced environment, managing multiple tasks and priorities effectively.
- Familiarity with healthcare laws, regulations, and compliance standards is desirable.
- Strong problem-solving and critical-thinking skills, with attention to detail and accuracy.
- Commitment to providing exceptional service and support to Z Health members, demonstrating integrity and professionalism in all interactions.
**Benefits**:
- Ongoing training and professional development opportunities.
- Positive and collaborative work environment dedicated to improving healthcare outcomes for Z Health members.
**Job Types**: Full-time, Contract
Pay: $75,000.00 - $125,000.00 per year
Schedule:
- Monday to Friday
Work setting:
- In-person
Ability to Relocate:
- Saint Petersburg, FL: Relocate before starting work (required)
Work Location: In person
