Claims Support Advocate (Temp)
Included Health · Remote
About this role
Job Summary: As a Claims Support Advocate (CSA), you will be part of a vibrant team of high performing and highly engaged professionals that work to ensure a quality member experience within our service level agreements. The CSA serves as a liaison between plan members, providers and health insurance companies to resolve member claim inquiries. The CSA handles all communication, paperwork, and negotiations with a health insurance carrier or provider on the behalf of the plan member. Responsibilities: Your primary objective is to provide effective and timely customer service for members, providers, insurers and clients regarding health care claims Ensure timely follow-up on requests for accounts to be reviewed Organize health insurance paperwork and medical record documentation Demonstrate knowledge of proprietary software and other required technology (Google apps, Slack, etc) Communicate timely status updates to patients throughout the claims process Negotiate with providers on plan member balances Appeal claim denials from the insurance company Contact providers and insurance companies to resolve claim concerns Assist with understanding of explanation of benefits (EOBs) Assisting members with resolving claim errors or denials. Ideally to recoup or lower their medical expenses Collaborate with peers and management across functions Understand the evolving business requirements and adapt the operational processes to meet those requirements Speak clearly, confidently and maintain professionalism as well as friendly member interactions while demonstrating persuasion in overcoming objections Ability to handle a fast-paced, dynamic environment with competing priorities Model a culture reflective of our core company values Gain and retain a thorough understanding of the team and company policies, processes, software, etc Including other duties and responsibilities as assigned by leadership Qualifications: 1 year experience in customer service roles 3 years of revenue cycl
Excerpt from the posting Included Health published. Read the full description on their site before applying.
Skills this posting mentions
About Included Health
Included Health is raising the standard of healthcare for everyone. The company breaks down barriers to care with a personalized, end-to-end healthcare experience for every person in every community - no matter where they are in their health journey. Included Health partners with employers and health plans to deliver better outcomes. With compassionate, data-driven guidance, advocacy, and care for all types of health needs, Included Health gets members the right care at the right time. It’s all included.
All 141 openings at Included HealthApply to this role, tailored
Queue Claims Support Advocate (Temp) at Included Health and I will read the posting, rewrite your resume against it, draft the cover letter, and score the fit before you send anything.
Applications finish as drafts. Nothing is sent until you read it and press send. New accounts start with 500 free credits.
More roles at Included Health
See all- Today
- Today
- 4 days ago
- Last week
- Last week
- Last week
Similar roles elsewhere
See more- 4 days ago
Guest Onboarding Consultant I - French Speaking
ToastRemote, CanadaRemote
CA$54k - CA$86k/yrEntry levelSupport
Listed from the job board Included Health publishes. Refolk is not the employer and does not handle their hiring. Applications go to Included Health directly.