Member Care Advocate – Healthcare Support

Umpqua Health Management LLC; Roseburg (OR); On-site; USD 28,000 - 30,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

401(k) with company match

Life insurance

Paid time off & holidays

Tuition reimbursement

Job summary

Umpqua Health is seeking a Customer Care Specialist to professionally respond to member inquiries about benefits, eligibility, and healthcare services. This role serves as the primary contact for communications, delivering accurate information and empathetic support to enhance member experience.

Responsibilities include outreach to new and returning members, guiding them through services, and coordinating with internal teams to resolve issues while maintaining strict confidentiality and HIPAA

Qualifications

• Two years of customer service experience, preferably in healthcare.
• Excellent written and verbal communication skills.
• Ability to de-escalate and resolve issues empathetically.
• Ability to use multiple systems and MS Office.
• Knowledge of HIPAA/privacy requirements.
• Valid driver's license and auto insurance.
• High school diploma or equivalent.

Responsibilities

• Serve as primary contact for members via phone, email, and in-person interactions.
• Explain benefits and eligibility; navigate health plans.
• Educate members on health plan benefits and access to services.
• Collaborate with Care Coordination, Providers, Behavioral Health, and Claims.
• Document all interactions in tracking and case management systems.
• Maintain confidentiality and HIPAA compliance.
• Identify trends and suggest process improvements.

Skills

Customer service

Healthcare experience

Communication skills

Active listening

MS Office

Multitasking & systems

Team collaboration

HIPAA compliance

Problem solving

Education

High school diploma or equivalent

Tools

Call center software

Case management platforms

Job description

Umpqua Health is seeking a Customer Care Specialist to professionally respond to member inquiries about benefits, eligibility, and healthcare services. This role serves as the primary contact for communications, delivering accurate information and empathetic support to enhance member experience.

Responsibilities include outreach to new and returning members, guiding them through services, and coordinating with internal teams to resolve issues while maintaining strict confidentiality and HIPAA