Member Advocate

🔥 18 hours ago

🌽 Illinois – Remote

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💵 $20 - $22 / hour

⏰ Full Time

🟢 Junior

🚫👨‍🎓 No degree required

👻 Ghost score 0%

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Logo of Allied Benefit Systems

Allied Benefit Systems

201 - 500 employees

Founded 1980

🏥 Healthcare

💼 Consulting

📦 Logistics

Healthcare • Consulting • Logistics

Allied Benefit Systems is a national healthcare solutions company that provides health plan administration, care and cost management, provider network services, and data analytics to employers, members, and benefits consultants. The company focuses on reducing healthcare costs, optimizing plan performance, and improving member experience through administrative services, analytics & insights, and customizable provider networks.

📋 Description

• Respond to inbound member inquiries via telephone and email regarding provider access, plan benefits, claims, and balance billing concerns • Conduct outbound outreach to providers to confirm plan acceptance and gather required information • Support balance billing resolution and facilitate member access to care • Educate members, providers, employers, brokers, and internal partners on plan design, coverage, tools, and resources • Obtain, review, and document information related to provider access issues and balance billing concerns • Coordinate signed HIPAA authorizations when required • Serve as a liaison between members, providers, and internal teams • Document interactions, actions, and outcomes in applicable systems • Meet productivity, quality, and customer service performance metrics • Collaborate with Client Service team members and leadership on projects, ad hoc reporting, and process support • Escalate complex access or resolution issues to leadership • Perform other duties as assigned

🎯 Requirements

• High school diploma or equivalent required • 1 to 2 years of customer service experience required • 1 to 2 years’ experience in employee health and benefit plan administration preferred • Excellent verbal and written communication skills • Excellent interpersonal and customer service skills • Proficient with Microsoft Office Suite or related software • Excellent time management skills with a proven ability to meet deadlines • Strong analytical and problem solving skills • Ability to function well in a high paced and at times stressful environment • Internet connection through a cable broadband or fiber optic internet service provider • Minimum internet speeds of 100Mbps download/25Mbps upload

🏖️ Benefits

• Medical insurance • Dental insurance • Vision insurance • Life insurance • Disability insurance • Generous paid time off • Tuition reimbursement • Employee Assistance Program (EAP) • Technology stipend • Fully remote work • Flexible work-from-home arrangement

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