Remote Healthcare Claims Advocate II

Customer Service; Albuquerque (NM); On-site; USD 25,000 - 39,000; Full time

Job summary

HCSC in United States is seeking a Customer Service representative responsible for assisting providers and Indian Health Services. You will research, analyze, and respond to telephone and written inquiries about claims, pricing, and coordination of benefits, and act as a liaison between providers and IHS.

The role emphasizes phone-based work (approximately 90% of time), data entry tasks, and the ability to make quick decisions.

Qualifications

• High school diploma or GED.
• 1 year customer service experience in health care or health insurance.
• Data entry or typing experience.
• Strong interpersonal, verbal and written communication skills.

Responsibilities

• Provide assistance to providers and IHS with inquiries related to claims, pricing, and coordination of benefits.
• Research, analyze, and respond to telephone and written inquiries.
• Resolve inquiries and recommend process improvements.
• Serve as a subject matter expert on projects and testing; liaise between providers and IHS.

Skills

Customer service

Phone support

Data entry

Communication

Education

High school diploma or GED

Job description

HCSC in United States is seeking a Customer Service representative responsible for assisting providers and Indian Health Services. You will research, analyze, and respond to telephone and written inquiries about claims, pricing, and coordination of benefits, and act as a liaison between providers and IHS.

The role emphasizes phone-based work (approximately 90% of time), data entry tasks, and the ability to make quick decisions.