Healthcare Member Advocate: Elevate Customer Care

ClaimDOC, LLC; West Des Moines (IA); On-site; USD 32,000 - 42,000; Full time

Benefits offered by this job

Medical Insurance

Dental Insurance

Vision Insurance

Life Insurance

FSA / 401k

Job summary

ClaimDOC, LLC is seeking a Customer Service Advocate to deliver exceptional experiences to each caller and build strong relationships with clients. The role focuses on resolving benefit-related questions, scheduling, and guiding providers and members through the process.

This on-site position in West Des Moines, IA offers growth opportunities, competitive pay with benefits, and performance-driven bonuses. Bilingual candidates are encouraged to apply and training will be provided during the

Qualifications

• 1 year of customer service representative experience or office setting with phone support preferred but not required.
• Strong verbal and written communication skills with proper grammar and punctuation.
• Experience in health care benefits, insurance claims processing or medical provider billing preferred but not required.
• Familiarity with Windows PC applications and ability to learn new software.
• Ability to multitask and understand multiple products and benefits within each product.
• Ability to work regular shifts within hours of operation, including training period with scheduled lunches/breaks.

Responsibilities

• Answer incoming phone calls from members and identify the type of assistance needed (provider access, scheduling, interpreting an EOB, or understanding an invoice).
• Use data to identify and solve problems within area of expertise.
• Investigate nonstandard requests with some assistance and document required information in systems.
• Ask questions and listen actively to identify issues and document information.
• Intervene with care providers to assist with scheduling or connect with internal specialists as needed.
• Educate providers about the client benefit plan and contracting opportunities.

Skills

Customer service

Phone support

Verbal communication

Written communication

Multitasking

Education

High school diploma or GED

Job description

ClaimDOC, LLC is seeking a Customer Service Advocate to deliver exceptional experiences to each caller and build strong relationships with clients. The role focuses on resolving benefit-related questions, scheduling, and guiding providers and members through the process.

This on-site position in West Des Moines, IA offers growth opportunities, competitive pay with benefits, and performance-driven bonuses. Bilingual candidates are encouraged to apply and training will be provided during the