Customer Support Advocate

BeniComp, Inc.; Fort Wayne (IN); On-site; USD 40,000 - 55,000; Full time

Job summary

BeniComp, Inc. seeks a Customer Support Advocate to empower members on IncentiCare health plans. You will guide members through benefits, billing, and care navigation, collaborating with Health Management teams to resolve inquiries.

The role emphasizes empathetic communication, problem-solving, and proactive outreach to providers and members to ensure smooth access to care.

Qualifications

• 1+ year of experience in health insurance or healthcare.
• Experience in Customer Service.
• Excellent oral and written communication skills.
• Ability to learn quickly and independently.
• Ability to multitask and prioritize.
• Tech-savvy and fast typist (35+ wpm).
• Team player with strong problem-solving skills.

Responsibilities

• Answer and resolve incoming phone calls and support tickets.
• Initiate Prior Authorization requests.
• Correspond with providers and vendor partners to resolve inquiries.
• Provide benefits, Rx pricing, and provider access information.
• Review medical bills for balance bill identification.
• Share feedback to improve processes and technology.

Skills

Health insurance experience

Customer service

Excellent communication

Multitasking

Independent learner

Job description

Are you a tech-savvy, people-person with health insurance experience wanting to apply your skill set at a company that will empower you to grow personally and professionally? We are looking for a talented Customer Support Advocate to enhance our team and help us change healthcare for the social good. As a Customer Support Advocate you will have a direct impact on peoples’ lives by offering personalized guidance to ensure each and every individual feels empowered to make decisions regarding their health.

What You’ll Do

As the Customer Support Advocate, you will work with our Customer Service and Preventive Health Management teams to provide a best-in-class experience to members of our proprietary health insurance plan– IncentiCare. You will use your expertise in health insurance and communication to help members solve problems and navigate their health insurance with ease.

Responsibilities

• Answer and resolve incoming phone calls and support ticket
• Initiate Prior Authorization requests
• Correspond with providers and vendor partners to resolve member inquiries
• Make provider recommendations based on cost and quality
• Provide Rx pricing and location information
• Review medical bills for balance bill identification
• Keep detailed notes and liaison member to appropriate points of care (Health Coach, Medical Manager, Vendor Partner, PCP, etc.)
• Provide benefits and healthcare education to our members to ensure all patients concerns are answered including eligibility, billing, claims, and provider access
• Follow up after specific claim triggers (ex: emergency hospitalization) to ensure compliance around medication + PCP visits
• Proactively outreach to providers to verify insurance coverage
• Answer phone calls from provider to verify insurance coverage
• Proactively outreach to members based on data triggers (ex: Potential for balance bills, advice on plan utilization services such as Rx, etc.)
• Answer plan questions and help them navigate through the healthcare system
• Identify and intervene in crisis or critical-risk situations.
• Solve problems and work autonomously in a supportive, collaborative environment
• Share feedback to help our team and technology improve and add functionality
• Track data to measure the effectiveness of outcomes.

Requirements

• 1+ years of experience in health insurance or healthcare
• Experience in Customer Service
• Excellent oral and written communication skills
• Ability to learn quickly and independently
• Ability to multitask and prioritize
• Tech-savvy
• Ability to type 35+ wpm with minimal mistakes
• Team player
• Strong analytical and problem-solving skills
• Driven to continuously learn and advance your skill sets to help patients in a different way.
• Enjoy that no two days are the same and keeping busy is a must
• Be comfortable researching an answer that you don’t already know

Details

• Salary: Will be discussed during the interview process
• Career Level: Talented
• Job Type: Full Time in Fort Wayne or Tampa Office
• To Apply You Must: Submit an application with a current resume with a cover letter.