Member Advocate

ClaimDOC, LLC; West Des Moines (IA); Vor Ort; USD 32.000 - 42.000; Vollzeit

Benefits dieser Stelle

Medical Insurance

Dental Insurance

Vision Insurance

Life Insurance

FSA / 401k

Zusammenfassung

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

Qualifikationen

• 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.

Aufgaben

• 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.

Kenntnisse

Customer service

Phone support

Verbal communication

Written communication

Multitasking

Ausbildung

High school diploma or GED

Jobbeschreibung

This is your chance to take your customer service career to the next level. At ClaimDOC, we’re changing the way health care works for the better, and we want individuals who are innovative and motivated like you to join our team! You’ll find unrivaled support, as well as growth and development opportunities driven by your performance and limited only by your imagination.

As a Member Advocate, you’ll compassionately deliver an exceptional experience to every caller, always remembering that there is a real person on the other end of the phone who is looking for help, guidance and support. Both of these are opportunities for you to identify and exceed our customer expectations by committing to and building strong relationships internally and externally.

These are full-time, on-site positions at the ClaimDOC office in West Des Moines, IA, which is open Monday through Friday from 7 a.m. to 6 p.m. Bilingual candidates are strongly encouraged to apply. Multiple positions are available.

Primary Responsibilities:

• Answer incoming phone calls from members covered by our client company health benefit plans and identify the type of assistance the customer needs, including accessing a provider or scheduling a procedure, interpreting an EOB, or understanding an invoice received from a medical provider
• Use pertinent data and facts to identify and solve a range of problems within area of expertise
• Investigate nonstandard requests and problems, with some assistance from others
• Ask appropriate questions and listen actively to identify specific questions or issues while documenting required information in computer systems
• Intervene with care providers (doctor’s offices) on behalf of the customer to assist with appointment scheduling or connections with internal specialists for assistance when needed
• Assist and educate providers about the client benefit plan, including contracting opportunities with our company on behalf of the client
• Follow a problem through to its resolution on behalf of the customer in real time or through comprehensive and timely follow-up
• Research complex issues across multiple databases and work with support resources to resolve customer issues and/or partner with others to resolve escalated issues
• Meet the performance goals established for the position in the areas of efficiency, call quality, provider satisfaction, first call resolution and attendance.

Qualifications

• One year of customer service representative experience or one year of experience in an office setting, with phone support experience preferred but not required.
• Strong verbal and written communication skills, including the ability to write notes and convey messages using proper grammar and punctuation.
• Experience in a setting involving health care benefits, insurance claims processing or medical provider billing preferred but not required.
• An education level of at least a high school diploma or GED
• Familiarity with computer and Windows PC applications, which includes the ability to learn new and complex computer system applications.
• Ability to multitask duties as well as the ability to understand multiple products and multiple levels of benefits within each product.
• Ability to work regularly scheduled shifts within our hours of operation including the training period, where lunches and breaks are scheduled.

ClaimDOC is a rapidly growing company in West Des Moines striving to change the way healthcare works for the better. We offer competitive pay and benefits, including medical, dental, vision and life insurance. We also offer an FSA and 401k. You will earn paid time off and paid holidays. All Member Advocates are also eligible for monthly, performance-driven bonuses.

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law. ClaimDOC is a drug- and tobacco-free workplace.