Experience healthcare without the headaches. Included Health can help you get care for colds, bills, anxiety, and everything in between with personalized virtual care, benefits navigation, and member advocacy. Backed by Greylock.
About the role
As a Claims Support Advocate (CSA), you will be part of a vibrant team of high performing and highly engaged professionals that work to ensure a quality member experience within our service level agreements. The CSA serves as a liaison between plan members, providers and health insurance companies to resolve member claim inquiries. The CSA handles all communication, paperwork, and negotiations with a health insurance carrier or provider on the behalf of the plan member.
What they're looking for
- 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
More about this role
As a Claims Support Advocate (CSA), you will be part of a vibrant team of high performing and highly engaged professionals that work to ensure a quality member experience within our service level agreements. The CSA serves as a liaison between plan members, providers and health insurance companies to resolve member claim inquiries. The CSA handles all communication, paperwork, and negotiations with a health insurance carrier or provider on the behalf of the plan member.
Your primary objective is to 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)
Assisting members with resolving claim...
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