Claims Support Advocate – Temp

🔥 47 minutes ago

🇺🇸 United States – Remote

💵 $22 / hour

⏳ Contract/Temporary

🟡 Mid-level

🟠 Senior

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Included Health

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

🏥 Healthcare

☁️ SaaS

👥 HR Tech

Healthcare • SaaS • HR Tech

Included Health is a healthcare technology company that delivers personalized, employer- and health-plan-focused primary, urgent, and behavioral health care through a single app and a network of virtual and in-person services. It blends AI-driven tools and human care teams to provide 24/7 care coordination, billing and claims advocacy, second opinions from leading specialists, and mental-health support, with the goal of lowering employer healthcare costs and improving member experience and inclusivity.

📋 Description

• Provide effective and timely customer service for members, providers, insurers and clients regarding health care claims • Ensure timely follow-up on requests for accounts to be reviewed • Organize health insurance paperwork and medical record documentation • Demonstrate knowledge of proprietary software and other required technology (Google apps, Slack, etc) • Communicate timely status updates to patients throughout the claims process • Negotiate with providers on plan member balances • Appeal claim denials from the insurance company • Contact providers and insurance companies to resolve claim concerns • Assist with understanding of explanation of benefits (EOBs) • Assist members with resolving claim errors or denials • Collaborate with peers and management across functions • Understand the evolving business requirements and adapt the operational processes to meet those requirements • Speak clearly and confidently while maintaining professionalism • Handle a fast-paced, dynamic environment with competing priorities • Model a culture reflective of core company values • Gain and retain a thorough understanding of team and company policies, processes, software, etc • Other duties and responsibilities as assigned by leadership

🎯 Requirements

• 1 year experience in customer service roles • 3 years of revenue cycle or carrier experience • Passion for providing support • Prior work experience in a claims support and health insurance role • Ability to take meticulous notes and document actions taken • Highly effective communication, problem resolution and organizational skills • Demonstrated ability to meet goals in a rapidly changing environment • Excellent data and overall analytical skills • Excellent written and verbal communication skills • Proven record of excellent time management and prioritization skills • Ability to troubleshoot basic technical issues • Proven track record of driving measurable efficiency results • Medical billing/coding certification (CPC) is beneficial, but not required • College degree preferred (additional experience in lieu of college degree will be considered)