Member Services Advocate
Job Description
Position Location: 100% Remote
Responsibilities include but are not limited to:
- Manage assigned member caseload via high-touch advocacy model with a focus on elevating the member experience and promoting engagement.
- Apply independent critical thinking and acumen to assist members with their balance bill issues and inquiries with a focus on influencing a positive member experience
- Handle and coordinate elevated internal and external member issue resolution with confidence and a sense of urgency. Act as point person for member inquiries, issues and concerns. Direct, quarterback and ensure timely issue resolution and remediation.
- Facilitate, influence and coordinate communication with members, clients, medical providers, in-house and external legal representation
- Establish and build a strong rapport with members and internal counterparts
- Track status and resolution of member inquiries and issues
- Maintain accurate and complete documentation and follow-up diaries during all stages of the process
- Collaborate with other internal stakeholders to address service issues and process/systemic enhancement opportunities
- Apply strong knowledge of HIPAA regulations
- Performs other duties as assigned by management
Required Experience/Education:
- College Degree or equivalent combination of college and work experience.
- Experience delivering client-focused solutions based on customer needs.
- Experience with billing, insurance, healthcare or legal environments preferred.
Knowledge, Skills, and Abilities:
- Proficiency in Microsoft Outlook, Microsoft Word, Excel, and internet navigation
- Ability to multi-task and thrive in a fast-paced entrepreneurial company
- Excellent written and verbal communication skills
- Advanced problem resolution skills
- Ability to make independent decisions and apply critical thinking based on practical knowledge and business acumen
- Excellent interpersonal skills and ability to maintain positive relationships
- Team player able to collaborate with other stakeholders
- Ability to stay focused and manage time appropriately
- Exude positivity with a desire and willingness to be a part of the Imagine360 Culture
What can Imagine360 offer you?
- Multiple Health Plan Options, including a 100% Employer Paid Benefit Options
- 100% Company paid employee premiums for Dental, Vision, STA, & LTD, plus Life Insurance
- Parental Leave Policy
- 20 days PTO to start / 10 Paid Holidays
- Tuition reimbursement
- 401k Company contribution
- Professional development initiatives / continuous learning opportunities
- Opportunities to participate in and support the company’s diversity and inclusion initiatives
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Imagine360 is a health plan solution company that combines 50+ years of self-funding healthcare expertise. Over the years, we’ve helped thousands of employers save billions on healthcare. Our breakthrough total health plan solution is fixing today’s one-size-fits-none PPO insurance problems with powerful, customized, member-focused solutions.
Imagine360 is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or veteran status.
**RECRUITMENT AGENCIES PLEASE NOTE: Imagine360 will only accept applications from agencies/business partners that have been invited to work on a specific role. Candidate Resumes/CV’s submitted without permission or directly to Hiring Managers will be considered unsolicited and no fee will be payable. Thank you for your cooperation**