Customer Advocate II

Customer Service; Albuquerque (NM); On-site; USD 25,000 - 39,000; Full time

Job summary

HCSC in United States is seeking a Customer Service representative responsible for assisting providers and Indian Health Services. You will research, analyze, and respond to telephone and written inquiries about claims, pricing, and coordination of benefits, and act as a liaison between providers and IHS.

The role emphasizes phone-based work (approximately 90% of time), data entry tasks, and the ability to make quick decisions.

Qualifications

• High school diploma or GED.
• 1 year customer service experience in health care or health insurance.
• Data entry or typing experience.
• Strong interpersonal, verbal and written communication skills.

Responsibilities

• Provide assistance to providers and IHS with inquiries related to claims, pricing, and coordination of benefits.
• Research, analyze, and respond to telephone and written inquiries.
• Resolve inquiries and recommend process improvements.
• Serve as a subject matter expert on projects and testing; liaise between providers and IHS.

Skills

Customer service

Phone support

Data entry

Communication

Education

High school diploma or GED

Job description

At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers.

Join HCSC and be part of a purpose-driven company that will invest in your professional development.

This position is responsible for providing assistance to providers and Indian Health Services (IHS). This position researches, analyzes, and responds to telephone and written inquiries related to claims issues, pricing issues, and coordination of benefits. This position is also responsible for resolution of inquiries, including adjustments and making recommendations regarding process improvements. This position is a subject matter expert regarding projects and testing. This position also works closely with the IHS customer and acts as a liaison between the provider and IHS.

Job Requirements

• High school diploma OR GED.
• 1 year customer service experience in a health care or health insurance environment.
• Experience evaluating customer situations, making decisions, and responding quickly to questions.
• Data entry and/or typing experience.
• Interpersonal, verbal and written communication skills and independent decision making skills.
• Analytical and organizational skills.
• Ability to spend approximately 90% of the scheduled time on the phone according to business needs and sit for long periods of time with scheduled breaks.

Preferred Job Requirements

• 1 ½ years customer service experience.
• 6 months data entry experience in an office environment.
• Experience working with various lines of business, i.e. CDHP, Medicare, Wellness, and Disease Management.
• Knowledge of medical terminology and anatomy.
• Referral preference given to applicants able to take and meet testing criteria.

Preference in filling vacancies is given to qualified Indian candidates in accordance with the Indian Preference Act of 1934 (title 25, USC Section 472) Native American Indian Preference shall apply to this position pursuant to the Indian Self-Determination and Education Assistance Act (24 U.S.C. 450, et seq.), 25 CFR 271.44 and other relevant laws (title 25, #LI-Remote #LI-CH1 INJLF

Compensation: $17.75 - $28.39

Exact compensation may vary based on skills, experience, and location

HCSC Employment Statement:

We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics.

To learn more about available benefits, please click https://careers.hcsc.com/totalrewards