Member Benefit Advocate

Insight Global; United States; On-site; USD 42,000 - 64,000; Full time

Benefits offered by this job

Experience with self-funded health on

TPA/healthcare payer experience

Medical billing/balance billing knowl­

Experience assisting both members and

Job summary

Insight Global's client is seeking a compassionate Member Benefits Advocate to join a growing healthcare organization. You will support health plan members and providers, explaining coverage, benefits, eligibility, and billing details, primarily via calls, email, and chat.

This onsite role starts with training in Amarillo, TX, and requires 2+ years in healthcare customer service, benefits quoting, and accurate HIPAA-compliant documentation.

Qualifications

• 2+ years of healthcare customer service or call center experience.
• Experience quoting benefits and explaining health insurance.
• Knowledge of eligibility verification, claims status, EOBs, and healthcare benefits.
• Strong communication, empathy, and problem-solving skills.
• Ability to navigate sensitive situations with professionalism and discretion.
• High attention to detail and thorough follow-through.

Responsibilities

• Support members through inbound calls, email, and chat interactions.
• Explain healthcare benefits, eligibility, claim status, and EOBs.
• Assist members with billing questions and provider access issues.
• Work directly with healthcare providers regarding benefits, eligibility, payments, and claims inquiries.
• Investigate and resolve member and provider concerns from start to finish.
• Collaborate with internal teams to improve member outcomes and experiences.
• Maintain HIPAA compliance and accurate documentation.

Skills

Healthcare CS

Benefits quoting

Benefits explanation

Eligibility verification

Claims status

Empathy

Attention to detail

Communication skills

Job description

• 10am-7pm CST Monday-Friday
• First week of training is onsite in Amarillo, TX

Job Description:

Insight Global's client isseeking a compassionate, detail-oriented Member Benefits Advocate to join a rapidly growing healthcare organization focused on delivering an exceptional member experience while reducing healthcare costs. In this role, you'll serve as a trusted resource for health plan members and healthcare providers, helping them understand coverage, benefits, claims, billing issues, and eligibility information.

Preferred Experience:

• 2+ years of customer service experience in healthcare, member services, or a call center environment
• Quoting Benefits experience
• Experience interpreting and explaining health insurance benefits
• Knowledge of eligibility verification, claims status, EOBs, and healthcare benefits
• Strong communication and problem-solving skills
• Ability to navigate sensitive situations with empathy and professionalism
• High attention to detail and strong follow-through

Responsibilities:

• Support members through inbound calls, email, and chat interactions
• Explain healthcare benefits, eligibility, claim status, and EOBs
• Assist members with billing questions and provider access issues
• Work directly with healthcare providers regarding benefits, eligibility, payments, and claims inquiries
• Investigate and resolve member and provider concerns from start to finish
• Collaborate with internal teams to improve member outcomes and experiences
• Maintain HIPAA compliance and accurate documentation

Pluses:

• Experience supporting self-funded health plans, TPAs, or healthcare payers
• Knowledge of medical billing or balance billing situations
• Experience assisting both members and providers