Healthcare Navigator

4 weeks ago


Dallas, Texas, United States CareGuide Advocates Full time
CareGuide Advocates: Seeking a Dedicated Member Advocate

CareGuide Advocates is committed to providing exceptional healthcare support to our members. We are seeking a highly skilled and compassionate Member Advocate to join our team.

About the Role

  • Provide exceptional customer service to members over the phone, ensuring their needs are met and concerns are addressed.
  • Manage a caseload of members, providing support with appointment scheduling, locating affordable services, and assisting with forms.
  • Investigate member medical and billing concerns, negotiating and settling claims as needed.
  • Explore and provide guidance on affordable prescription assistance, ensuring members have access to necessary medications.
  • Guide members through filling out important medical documents for Financial Assistance, ensuring they receive the support they need.
  • Gather and examine patient information to determine eligibility for financial assistance, ensuring fairness and accuracy.
  • Record, review, and follow up on patient complaints, resolving issues promptly and professionally.
  • Maintain accurate and up-to-date record keeping files and systems, ensuring seamless communication with members.
  • Establish and maintain trusted relationships with members, providing timely updates on their case status.
  • Comply with HIPAA industry standards and regulations, ensuring confidentiality and security of member information.
  • Participate in special projects as assigned, contributing to the growth and development of CareGuide Advocates.

Requirements

  • High School diploma or equivalent required.
  • 2-3 years of related experience, including medical terminology knowledge.
  • Excellent communication and customer service skills, both written and verbal.
  • 1-2 years of experience working with multi-line phone systems.
  • Strong technical and organizational skills, with the ability to work independently and as part of a team.
  • Proficient in Microsoft Office and ability to learn new software programs.
  • Experience with medical claims preferred.

Benefits

CareGuide Advocates offers a comprehensive benefits package, including health, vision, dental, and generous PTO. We value our employees and are committed to providing a supportive and inclusive work environment.


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