Member Care Advocate - Health Plan Support

Arizona Priority Care; Chandler (AZ); On-site; USD 26,000 - 29,000; Full time

Benefits offered by this job

In-office 60-day start

Hybrid schedule after training

Job summary

Arizona Priority Care is seeking a Customer Service Advocate to serve as the primary liaison for members, providers and health plans. You will respond to inquiries, resolve issues on the first contact and provide accurate information with a compassionate, professional approach.

The role emphasizes high-quality member support, documentation, and collaboration with internal teams. A high school diploma and experience in customer service are required; a hybrid schedule is available after training,

Qualifications

• High school diploma or equivalent; some college preferred.
• Prior experience in customer service
• Knowledge of Medicare, managed care systems, and medical terminology preferred.
• Excellent written and oral communication skills.
• Ability to interact with providers and patients professionally.

Responsibilities

• Serve as advocate for members, providers, and health plans; address referrals, prior authorizations, appeals, and grievances.
• Respond to inquiries via telephone and written correspondence; resolve issues on first call where possible.
• Verify eligibility, provide claim payments and status updates; collaborate with internal departments and partners.
• Deliver information in a positive, empathetic manner to ensure high member satisfaction.
• Document and track inquiries accurately; follow up to ensure timely resolution.

Skills

Customer service experience

Communication skills

Medicare knowledge

Medical terminology

Education

High school diploma or equivalent

Some college preferred

Job description

Arizona Priority Care is seeking a Customer Service Advocate to serve as the primary liaison for members, providers and health plans. You will respond to inquiries, resolve issues on the first contact and provide accurate information with a compassionate, professional approach.

The role emphasizes high-quality member support, documentation, and collaboration with internal teams. A high school diploma and experience in customer service are required; a hybrid schedule is available after training,