Full time

Aither Health, LLC; Town of Amherst (NY); On-site; USD 23,000 - 37,000; Full time

Benefits offered by this job

Health Coverage

PTO & Sick Time

Life & Disability Insurance

401(k) Retirement Plan

HSA/FSAs

Job summary

Aither Health is seeking an Advocate to assist members in navigating the healthcare system, explaining benefits, and guiding them through cost-saving options. This non-exempt role emphasizes thoughtful, patient-centered service and collaboration with the team.

The Advocate will handle provider inquiries, clarify plan details, and support members in scheduling and understanding costs, while staying curious and improving processes over time.

Qualifications

• High school diploma or GED required.
• 1-2 years of self-funding or level-funding experience required.
• Must have TPA experience.

Responsibilities

• Listen actively to members, understanding needs and questions.
• Respond to provider inquiries about eligibility, benefits, claim status, and plan information.
• Provide clear explanations about benefits and costs to members.
• Guide members through their healthcare journey, including finding providers and managing costs.
• Collaborate with team members to resolve questions during calls.
• Engage in continual learning to improve cost-saving methods for members.
• Solve problems and innovate to reduce healthcare costs.

Skills

Communication

Patience

Tech-savvy

Confidentiality

Attention to detail

Team player

Excellence

Education

High school diploma or GED

1-2 years self-funding/level-funding experience

TPA experience

Job description

Amherst, United States

Aither Health is a healthcare solutions company offering a full suite of innovative products and services for third-party administrators and risk bearing entities such as self-funded employers, health plans and providers.

We founded Aither to help disrupt this country’s disastrous healthcare market. We work to reduce health care cost trends by applying our unique service model, selecting appropriate transparent vendor partners and building collaborative health care service delivery models.

We believe in putting the physicians back in charge of health care. With our help, physicians can emphasize and prioritize the intrinsic power of the relationship with a patient to improve health outcomes and lower overall health care costs.

Job Description

Job Title

Aither Advocate

Status

Non Exempt

Why this role is important

Navigating the healthcare system can be overwhelming for many individuals. Questions about coverage, costs, and care quality can leave members confused and uncertain. Aither's Advocates are the crucial link between members and their healthcare, guiding them through these complexities with care and expertise.

Key Responsibilities

• Listen Actively: You’ll be the compassionate ear that listens attentively to our members, understanding their needs, concerns, and questions. Treat every interaction with the same care as if you were speaking with a close family member.
• Support Provider Inquiries: Respond to incoming calls from healthcare providers assisting with questions related to eligibility, benefits, claim status, and plan information. Communicate professionally to ensure providers receive accurate information.
• Assist with Clarity: Provide clear, thoughtful explanations to members, whether it’s about their benefits, scheduling appointments, or understanding healthcare costs. Your goal is to make the complex simple and provide helpful solutions.
• Guide & Educate: Help members navigate their healthcare journey, from finding quality providers to managing their health expenses. Ensure members receive high-quality care while keeping their costs reasonable.
• Collaborate with Team: When necessary, engage with other team members to resolve questions or issues during the call. Teamwork is essential to delivering excellent member experiences.
• Continual Learning: Stay curious and engaged in learning. We’ll teach you how to battle healthcare costs, and in turn, you’ll help us discover new ways to assist our members.
• Problem Solve & Innovate: Leverage your problem-solving skills to address members’ concerns and help us invent new methods to reduce healthcare costs.

What you’ll bring

Education & Experience

• High school diploma or GED required
• Must have 1-2 years of self-funding or level-funding experience
• Must have TPA experience

Skills & Qualities

• Strong communication skills: You know how to explain things clearly, ensuring members understand their healthcare options and solutions.
• Patience and resilience: You can stay calm and positive under pressure, even during difficult situations.
• Tech-savvy: Comfortable working with PC, Windows, and common software applications.
• Confidentiality: You understand the importance of keeping sensitive information private.
• Attention to detail: You ensure that no task or issue falls through the cracks.
• Team player: You’re willing to pitch in wherever needed and collaborate with your teammates to deliver top-notch service.
• Drive for Excellence: You’re always looking for ways to improve processes, resolve issues creatively, and deliver high-quality work—every single time.

Compensation Range

$17/hr-$27/hr

Actual starting pay within this range will be determined based on several factors, including relevant experience, healthcare or TPA industry knowledge, skills, and overall qualifications. Final compensation will also take into account internal equity and market factors.

Requirements

• High school diploma or GED required
• Must have 1-2 years of self-funding or level-funding experience
• Must have TPA experience

Aither Health Benefits

• Health Coverage– Multiple medical, dental, and vision plan options to fit your needs.
• PTO & SICK– Paid PTO and SICK time.
• Life & Disability Insurance– Employer-paid life insurance plus optional supplemental coverage; short- and long-term disability included.
• Retirement Savings– 401(k) plan with automatic enrollment, employer match, and Roth option.
• Tax-Advantaged Accounts– Health Savings Account (HSA) for eligible plans, plus Flexible Spending Accounts (FSAs) for healthcare and dependent care.
• Easy Enrollment– Core benefits begin the first of the month after 30 days; 401(k) kicks in after 60 days.