Member Service Advocate-1

Harvard Pilgrim Health Care Inc

Remote, US
Base: $21.00 ph; bonus/equity: variable pyy may be...
Fully remote
Handle inbound member calls
Navigate healthcare system complexities
Resolve claims and eligibility issues
Point32Health is seeking a Member Service Advocate to provide exceptional customer service and support to its healthcare members in a fully remote capacity. The role emphasizes problem resolution, member engagement, and collaboration with various departments to enhance the member experience

Job Summary

  • Point32Health is a leading not-for-profit organization dedicated to delivering high-quality, affordable healthcare to nearly 2 million members.
  • The Member Service Advocate serves as a member champion by resolving internal and external issues related to benefits, coverage, and claims.
  • Employees are eligible for a comprehensive total rewards package including medical, dental, vision, retirement plans, and paid time off.

Matching Summary

Match Score: 85

Point32Health is seeking a Member Service Advocate to provide exceptional customer service and support to its healthcare members in a fully remote capacity. The role emphasizes problem resolution, member engagement, and collaboration with various departments to enhance the member experience.

Salary

Base: $21.00 per hour; Bonus/Equity: Variable pay may be available; Benefits: Medical, dental, vision, retirement, PTO, life insurance included

Skills & Requirements

Must-have

  • Handle inbound member calls
  • Navigate healthcare system complexities
  • Resolve claims and eligibility issues
  • Document interactions accurately
  • Adhere to HIPAA regulations
  • Work remotely from home office

Nice-to-have

  • Experience in healthcare call center
  • Knowledge of medical terminology
  • Strong empathy and active listening
  • Ability to multitask across systems
  • Proactive problem-solving skills
  • Commitment to inclusive care values

Key Requirements

  • Associate degree or equivalent work experience
  • 0-2 years of relevant experience
  • Prior remote/virtual work experience preferred
  • HIPAA compliance knowledge required

Work Rights

Not specified

Tailored Resume

Cover Letter