Healthcare Service Navigator & Advocate

Accurate Personnel; Houston (TX); On-site; USD 22,000 - 32,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

Full-time schedule

Job summary

Accurate Personnel is hiring a Service Coordination Advocate to join our team in Houston, TX. This role collaborates with internal departments, healthcare providers, and external stakeholders to ensure seamless service delivery and member satisfaction.

Responsibilities include informing members about benefits, eligibility, authorizations, and claims status; routing inquiries; escalating urgent concerns; and supporting continuity of service through clear communication.

Qualifications

• Three years of healthcare call center experience.
• High School diploma or GED.
• Experience with call center phone applications.
• Ability to navigate health services and coordinate with providers.
• CRM system experience.

Responsibilities

• Provide information regarding benefits, eligibility, authorizations, claims status, and available community resources
• Route inquiries to the appropriate Service Coordinator, department, or clinical resource as needed
• Escalate urgent, clinical, or complex concerns to the appropriate team according to established procedures
• Support continuity of service delivery through effective communication and follow-up
• Adhere to organizational standards, regulatory requirements, and departmental expectations
• Work collaboratively with coworkers and internal departments (Medical Affairs, Member Services, Provider Services, Claims, and other internal groups)

Skills

Healthcare call center experience

Education

High School diploma or GED

Tools

CRM system

Call center software

Job description

Accurate Personnel is hiring a Service Coordination Advocate to join our team in Houston, TX. This role collaborates with internal departments, healthcare providers, and external stakeholders to ensure seamless service delivery and member satisfaction.

Responsibilities include informing members about benefits, eligibility, authorizations, and claims status; routing inquiries; escalating urgent concerns; and supporting continuity of service through clear communication.