Member Advocate: Billing & Dispute Resolution

AMPS; Alpharetta (GA); On-site; USD 42,000 - 56,000; Full time

Job summary

AMPS is seeking a Member Advocate to provide dedicated support to members and healthcare providers by responding to inquiries across phone, fax, email, and mail to resolve balance billing issues. The role works independently within a defined scope, handling multiple time-sensitive tasks, maintaining organized workflows, and directing issues to the right resources for timely resolution.

HIPAA compliance is required.

Qualifications

• Provide exceptional customer service on all calls throughout the shift.
• Review and verify Balance Bills for accuracy and completeness.
• Conduct daily welcome calls to newly enrolled members and patients.
• Update all members/patients with open advocacy matters every 15 days.
• Prepare, file, and track correspondence related to disputes.
• Support members by answering questions related to the dispute and advocacy process.
• Document all interactions accurately in the appropriate systems.
• Complete a minimum of 40–50 documented interactions per shift.
• Respond to incoming correspondence within 24–48 hours.
• Maintain consistent communication with facilities, providers, EBOs, and debt collectors to assist in resolving open advocacy matters.
• Adhere to HIPAA guidelines to ensure confidentiality.
• Recommend process improvements to enhance member satisfaction and efficiency.
• Escalate advocacy concerns per guidelines.

Responsibilities

• Respond to inquiries by phone, fax, email, and mail to resolve balance billing issues.
• Coordinate and prioritize time-sensitive tasks within a defined scope.
• Direct issues to appropriate resources to ensure timely resolution.
• Serve as liaison with partners to resolve advocacy matters.
• Document all interactions accurately in the systems.
• Work independently while collaborating with team members.

Skills

Customer service

Active listening

Written & verbal comms

Analytical problem-solving

Multi-tasking

Attention to detail

Organization & time mgmt

Bilingual (plus)

Education

Associate degree or vocational/technical certification in healthcare

Job description

AMPS is seeking a Member Advocate to provide dedicated support to members and healthcare providers by responding to inquiries across phone, fax, email, and mail to resolve balance billing issues. The role works independently within a defined scope, handling multiple time-sensitive tasks, maintaining organized workflows, and directing issues to the right resources for timely resolution.

HIPAA compliance is required.