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Healthcare Member Advocate - Remote in Select States Only

Posted an hour ago
0-2 years experience
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AI Summary

Member Advocates handle inbound and outbound calls to support healthcare clients by addressing billing, benefits, and claims inquiries. They are responsible for documenting customer information accurately and ensuring a high-quality, professional member experience.

Job Description

ATTENTION MILITARY AFFILIATED JOB SEEKERS - Our organization works with partner companies to source qualified talent for their open roles. The following position is available to Veterans, Transitioning Military, National Guard and Reserve Members, Military Spouses, Wounded Warriors, and their Caregivers. If you have the required skill set, education requirements, and experience, please click the submit button and follow the next steps.


This employer will hire remote for the role from the following states only:
AL, FL, GA, IN, KY, LA, MI, MS, NC, OH, OK, SC, TN, TX, UT, VA, WV

Senture is a Teleperformance Company. 


Member Advocates will be responsible for handling both inbound and outbound calls to support our healthcare client. In this role, advocates are expected to deliver exceptional customer service by adhering to established protocols and guidelines. Advocates will support members through a variety of needs such as: billing, quoting, understanding medical or pharmacy benefits, providing requested materials, researching claims, and so much more! They will utilize various web-based systems to efficiently address and resolve customer inquiries, ensuring a seamless and satisfactory experience for each caller.

Our focus is creating a fantastic member experience. Advocates will need to be able to make the process easy for members, demonstrate that you care, and ultimately, resolve their concerns. Employees on this program do more than simply provide services to members. They advocate for them!

    7 weeks of paid, mandatory training: 100% attendance required. 
    All equipment provided. Work from home!
    Call center hours: Monday-Friday, 8 AM-9 PM EST; Saturday, 9 AM-7:30 PM EST
    Competitive benefits, PTO, growth, and development opportunities.


Answer customer inquiries with professional courtesy, providing exceptional customer service to each customer, based on client specific instruction.
Document each customers inquiry information into a database.
Verify customers information, making corrections and updates as needed.
Actively listen to recognize opportunities to offer additional information to callers ensuring the caller and client has received the best customer service experience possible.
Follow-up with callers as necessary.
Use statistical contact center data to make improvements to performance.
Shift and Schedule adherence.


#LI-Remote

Additional Qualifications/Responsibilities

    High School Diploma or GED
    Prior call center or customer service experience highly desired
    Effective verbal and written communication skills
    Ability to multi-task
    Knowledge on how to operate a computer, use internet search engines, and navigate multiple windows/tabs
    Ability to sit for extended periods of time
    Ability to successfully pass a background investigation and drug screen
    Must successfully pass preemployment criteria testing and internet speed test

Candidates must meet the following requirements to work from home:

    Enclosed and secure work area with zero distractions
    Must have the ability to provide a non-cellular high speed internet service such as Fiber, DSL, or cable modems for a home office.
    Must be able to meet the minimum internet speed requirements of 20 mbps download and 12 mbps upload.
    Hotspots, satellite and wireless internet service is NOT allowed for this role.

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