[Hiring] Customer Service Advocate @Imagenet
Apr 14, 2025 - Imagenet is hiring a remote Customer Service Advocate. 💸 Salary: $17.00 - $19.00 doe. 📍Location: USA.
Role Description
Join our team as a Healthcare Customer Service Advocate, where you will play a crucial role in taking member services calls in relation to policy management, benefits and claim inquiries. You will be a valued member of the team, providing exceptional customer service to our clients and members by ensuring their satisfaction on calls. As a key contributor, you will be responsible for accurately and efficiently reading and relaying information to members.
This position requires a solid understanding of the health care claims, benefits and policy process flows and knowledgeable in healthcare terminology, including ICD-9 and ICD-10 coding.
Job Type: Full-time - 100% Remote Position
Schedule: Monday - Friday 11:00am to 8:00pm EST | 10:00am - 7:00pm CT
Key Responsibilities
- Manage inbound and outbound calls, responding to member and provider inquiries with professionalism and accuracy.
- Provide information on membership options, benefits, and account status on behalf of our clients.
- Review, verify, and process membership applications efficiently, ensuring completeness and accuracy of all required information.
- Maintain and update member information in our CRM systems, ensuring data integrity and accuracy across multiple client accounts.
- Handle multiple client accounts and responsibilities simultaneously, managing calls, processing paperwork, and updating databases without compromising on quality.
- Perform regular audits of member data to ensure compliance with client standards and industry regulations, identifying and rectifying any discrepancies.
- Coordinate with other teams within ImageNet, including IT, customer service, and quality assurance, to resolve issues and enhance service delivery for our clients.
- Continuously identify opportunities to streamline processes and contribute to initiatives that improve client satisfaction and operational efficiency.
Job Description
- Receive and respond to calls primarily from members, providers, and occasionally other health plans.
- Provide information on the status of authorization requests, including both inpatient and outpatient services.
- Maintain a high level of professionalism and customer service in all interactions.
- Resolve issues promptly and effectively, ensuring customer satisfaction.
- Address and manage re-direct requests.
- Handle requests to re-fax authorization documents as needed.
- Accurately document call interactions and outcomes in the appropriate systems.
- Ensure compliance with all relevant regulations and guidelines.
Qualifications
- High School Diploma or General Education Degree (GED) required.
- At least 2-4 years of experience in processing health insurance, customer service, call center, medical office, or other healthcare-related field.
- Healthcare Medical Terminology.
- Proficiency in Microsoft Office Suite (Word, Excel, Outlook).
- Experience with CRM systems or membership databases.
- Strong typing and data entry skills, with the ability to manage multiple systems simultaneously.
- Must be able to clear a background check.
Other Qualifications
- Keen ability to detect and correct errors in data, ensuring high standards of accuracy and consistency.
- Proven track record of effectively managing multiple tasks and priorities in a busy work environment.
- Excellent verbal and written communication skills, with the ability to articulate information clearly and confidently to members.
- Strong analytical capabilities with a focus on identifying issues and implementing solutions quickly and effectively.
- A passion for delivering exceptional service to clients and their members, aligning with Imagenet’s commitment to excellence.
Requirements
- High Speed Internet of 25MBPS download and 5MBPS upload. You will be required to provide proof of a speed test.
- Ability to directly hardwire equipment to your modem.
- Required to have a quiet dedicated work area.
Benefits
- Paid training period.
- Medical, Dental, Life, Vision, HSA, 401K.
- PTO.
- Equipment provided.
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| 📍 | Be aware of the location restriction for this remote position: USA |
| ‼ | Beware of scams! When applying for jobs, you should NEVER have to pay anything. Learn more. |
|
Salary
💸
$17.00 - $19.00 doe
|
Remote
Location
USA
|
|
Job Type
full-time
|
Posted
Apr 14, 2025
|
| 📍 | Be aware of the location restriction for this remote position: USA |
| ‼ | Beware of scams! When applying for jobs, you should NEVER have to pay anything. Learn more. |
