Claims Support Advocate (Temp)
Included HealthVirtual Care company
RemoteMid
Greylock
Venrock
The Carlyle Group
Harrison Metal
Revelation Partners
Operations & Strategy
About the role
TL;DR
Resolve member claim inquiries by acting as a liaison between members, providers, and insurance companies.
- •As a Claims Support Advocate (CSA), you will serve as a liaison between plan members, providers, and health insurance companies to resolve member claim inquiries.
- •You will handle communication, paperwork, and negotiations on behalf of the plan member.
- •Key Responsibilities Provide effective and timely customer service for members, providers, insurers, and clients regarding health care claims.
- •Organize health insurance paperwork and medical record documentation.
- •Communicate timely status updates to patients throughout the claims process.
- •Appeal claim denials from the insurance company and contact providers/insurers to resolve claim concerns.
- •Assist members with understanding explanations of benefits (EOBs) and resolving claim errors or denials.
- •Requirements 1 year of experience in customer service roles. 3 years of revenue cycle or carrier experience.
- •Prior work experience in a claims support and health insurance role.
- •Highly effective communication, problem resolution, and organizational skills.
- •Excellent data and overall analytical skills.
Required skills
Slack
Domain expertise
healthcare
Benefits & perks
Health insurance
Tech stack
Slack
