Nurse Benefits Advocate (Hybrid/Remote)

Main Street Insurance Group; Charlotte (NC); Híbrido; USD 65.000 - 95.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Vision Insurance

Company Paid Disability Insurance

Supplemental Insurance including Click

Descripción de la vacante

Main Street Insurance Group in Charlotte, NC is seeking a Nurse Advocate to deliver personalized health and benefits advocacy to clients and their employees, helping them navigate complex medical, claims, and coverage issues with compassion.

You will collaborate with the Advosee and benefits account management teams to address client needs, document all interactions for HIPAA compliance, support prior authorizations and appeals, and advocate for evidence‑based care and appropriate levels of

Formación

• Registered Nurse with active, unrestricted license in applicable state(s) required.
• Minimum of three years of clinical experience, preferably in case management, patient advocacy, or health insurance navigation.
• Strong knowledge of health insurance benefits, claims processes, and healthcare systems.
• Experience working within an insurance brokerage, benefits administration, or healthcare coordination environment preferred.
• Proficiency in Microsoft Office Suite and ability to learn agency and advocacy software systems.
• Exceptional interpersonal and communication skills, with the ability to convey complex information in clear, empathetic language.
• Problem-solving and conflict resolution skills with a member-first approach.
• Limited travel will be required.
• Ability to pass a criminal background check.

Responsabilidades

• Provide individualized member support and advocacy regarding healthcare decisions, benefits utilization, and claims resolution.
• Assist clients in understanding diagnoses, treatment plans, and available care options.
• Coordinate with providers, carriers, and stakeholders to facilitate access to services.
• Support members in navigating prior authorizations, appeals, and billing concerns.

Conocimientos

RN License

Health insurance navigation

Patient advocacy

Communication skills

Educación

RN - State License

Herramientas

Microsoft Office

Descripción del empleo

Main Street Insurance Group in Charlotte, NC is seeking a Nurse Advocate to deliver personalized health and benefits advocacy to clients and their employees, helping them navigate complex medical, claims, and coverage issues with compassion.

You will collaborate with the Advosee and benefits account management teams to address client needs, document all interactions for HIPAA compliance, support prior authorizations and appeals, and advocate for evidence‑based care and appropriate levels of