Customer Advocate II

hcsc; United States; On-site; USD 24,000 - 39,000; Full time

Job summary

HCSC is seeking a dedicated professional to provide assistance to healthcare providers and Indian Health Services (IHS). The role involves researching and responding to telephone and written inquiries related to claims, pricing, and coordination of benefits, and resolving inquiries with potential process improvements.

You will act as a liaison between providers and IHS and coordinate cross-functional efforts.

Qualifications

• 1 year customer service experience in health care or health insurance environment.
• Strong verbal and written communication skills.
• Ability to make quick decisions and evaluate customer situations.

Responsibilities

• Assist providers and Indian Health Services (IHS).
• Research, analyze, and respond to inquiries about claims issues, pricing issues, and coordination of benefits.

Skills

Customer service

Data entry

Interpersonal communication

Analytical thinking

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.

Job Summary

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,

Pay Transparency Statement

At Health Care Service Corporation, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. From health and wellness benefits, 401(k) savings plan, pension plan, paid time off, paid parental leave, disability insurance, supplemental life insurance, employee assistance program, paid holidays, tuition reimbursement, plus other incentives, we offer a robust total rewards package for employees. Learn more about our benefit offerings by visiting https://careers.hcsc.com/totalrewards .

The compensation offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plan subject to the terms and the conditions of the plan.

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.

Base Pay Range

$17.75 - $28.39

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