Customer Service Advocate

7 days ago


Houston, Texas, United States Apex Health Solutions Full time

Job Overview

We are seeking a highly skilled Customer Service Representative I to join our team at Apex Health Solutions. This role is responsible for addressing member and provider inquiries in a clear, professional, and caring manner.

Key Responsibilities:

  • Comply with HIPAA/PHI Regulations and actively adhere to Compliance/Program Integrity requirements.
  • Answer benefit, eligibility, claim, network, and authorization inquiries, resolving issues based on phone calls or other inquiry methods from members, providers, and plan sponsors.
  • Clearly document all interactions with members, providers, and other individuals contacting the customer service team.
  • Routinely interact with internal and external stakeholders to enhance relationships and render exceptional service.

Requirements:

  • High School Diploma or GED.
  • One-two (1-2) years of customer service experience in a call center environment.
  • Medical or health insurance background required.

Benefits

We offer a competitive salary range of $45,000 - $60,000 per annum, depending on experience, plus additional benefits such as reliable transportation support and opportunities for professional growth and development.



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