Medical Claims/Customer Service (Must have medical claims and call center exp.-REMOTE role 8am-5pm PST)

If you have heavy customer service experience with medical claims knowledge, I need you!

  • Laguna Hills, CA
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A bit about us:

Our services target the $2.8 trillion in US healthcare spending using our healthcare transparency tools.

Why join us?

We are a socially conscious company that is disrupting the way we purchase healthcare today while facilitating accountable care.

Job Details

The Intake Patient Advocate is responsible for addressing member, client and provider inquiries
(Balance Bills and Appeals) with an emphasis on educating members of the Patient Advocacy Center
  • Manages main phone line and answers all inquiries.
  • Ensures member inquiries are addressed timely; including education.
  • Ensures clear documentation of events associated to a medical claim.
  • Manages a daily running inventory of claims, prioritizing one’s work schedule accordingly.
  • Addresses all emails, incoming calls and inquiries while directing specific inquiries to the appropriate
  • Receives, reviews and forwards incoming mail.
  • Maintains daily tasks of sending letters to members, recording contact information and requesting
necessary documents from clients when needed.
  • Keeps the Lead Patient Advocate direct report informed of critical matters
  • Assists in maintaining a clean, safe and unobstructed workplace environment.
  • These duties are not exclusive and with consideration of your job requirements and other skills, this
job description can be added to or taken away from at the discretion of your immediate supervisor.
  • Experience in a medical healthcare claims role dealing with facilities, providers and members
  • Background in healthcare claims management and the ability to interpret benefit plans/Explanation of
  • Proactive, self-starter
  • Ability to manage high call volume
  • Experienced and highly skilled in working with phone inquiries.
  • Possesses exceptional multi-tasking and strong communication skills, both oral and written.
  • A high level of professionalism, organization and flexibility.
  • Excellent organizational skills demonstrating strong attention to detail.
  • PC literate, including Microsoft Office products and web-based applications
  • Regular, timely attendance
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