Clinical Support Advocate IV

Job Summary

A company is looking for a Clinical Support Provider Service Advocate IV (REMOTE).

Key Responsibilities:

• Provides customer service to plan members and providers by answering benefit questions and resolving issues
• Acts as a liaison between various stakeholders including hospitals, physicians, and patients
• Initiates and manages clinical referrals and verifies insurance coverage

Required Qualifications:

• 2+ years of related work experience or equivalent education in customer service and medical benefits
• High school diploma or GED
• Experience in an inbound call center environment is preferred
• Familiarity with medical terminology and claims adjudication processes is preferred
• Experience with claims software and MS Word and Excel is preferred