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Senior Member Advocate

Company: VirtualVocations
Location: Flushing
Posted on: October 16, 2024

Job Description:

A company is looking for a Senior Member Advocate to ensure service excellence to clients and their members.



Key Responsibilities

Resolve inquiries regarding provider outreach requests, balance bills, and No Surprises Act assignments
Educate members and providers on health plans, payment methodologies, and assist with negotiations
Maintain compliance with HIPAA regulations and ensure confidentiality of sensitive information


Required Qualifications and Education

High School Diploma/GED required; Associate degree preferred
Minimum of three years of experience in a call center, billing/accounts receivable, or healthcare claims adjudication
Familiarity with reimbursement methodologies and benefit calculations
Proficiency in basic computer skills and system applications
Understanding of healthcare insurance principles and concepts

Keywords: VirtualVocations, Middletown , Senior Member Advocate, Other , Flushing, Connecticut

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