Healthcare Advocate
2 weeks ago
CareGuide Advocates is a leading provider of healthcare advocacy services, dedicated to ensuring that individuals have access to quality, affordable healthcare. With over 25 years of experience in the health benefits industry, our team of experts has developed innovative tools and strategies to provide unparalleled support to our members.
We are seeking a full-time bilingual Member Advocate to join our team, working closely with members to navigate the complex healthcare system. This hybrid position will be based in the Dallas area, and candidates must be fluent in English and Spanish. Our comprehensive training program will equip you with the knowledge and expertise needed to excel in this role.
Key Responsibilities:
- Provide exceptional customer service to members and providers over the phone
- Manage a caseload and provide support to members through appointment scheduling, locating affordable services, and assisting with forms
- Investigate member medical and billing concerns, as needed
- Negotiate and settle medical claims
- Explore and provide guidance on affordable prescription assistance
- Guide members through filling out important medical documents for Financial Assistance
- Gather and examine patient information to determine eligibility for financial assistance
- Record, review, and follow up on patient complaints
- Create and maintain accurate record-keeping files and systems
- Maintain timely communication with members and establish a trusted relationship
- Comply with HIPAA industry standards and regulations
- Participate in special projects as assigned
Requirements:
- Bilingual in English and Spanish required
- High School diploma or equivalent required
- 2-3 years of related experience, including medical terminology knowledge
- Excellent communication and customer service skills
- 1-2 years of experience working with multi-line phone systems
- Strong technical and organizational skills
- 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: In addition to a competitive salary range of $57,000-$60,000, CareGuide Advocates offers a comprehensive benefits package, including opportunities for professional growth and development.
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