Customer Advocate I

About the role

This position provides assistance to Providers and Indian Health Services (IHS). You will research, analyze, and respond to telephone and written inquiries related to claims issues, pricing issues, and coordination of benefits. The role is responsible for resolution of inquiries, including adjustments, and making recommendations regarding process improvements. As a subject matter expert, you will handle projects and testing, and act as a liaison between the provider and IHS.

Responsibilities

• Research, analyze, and respond to telephone and written inquiries regarding claims, pricing, and coordination of benefits.
• Resolve inquiries, including processing adjustments and recommending process improvements.
• Serve as a subject matter expert for projects and testing.
• Act as a liaison between providers and Indian Health Services (IHS).

Requirements

• High school diploma or GED.
• 6 months of customer service experience or 6 months of experience in an office environment.
• Data entry and/or typing experience.
• Strong interpersonal, verbal, and written communication skills.
• Analytical, organizational, and independent decision-making skills.
• Ability to spend approximately 90% of scheduled time on the phone and sit for long periods with scheduled breaks.

Preferred Qualifications

• 9 months of customer service experience.
• Experience working with various lines of business (e.g., CDHP, Medicare, Wellness, and Disease Management).
• Knowledge of medical terminology and anatomy.
• Proven ability to learn quickly and adapt to change.
• Preference given to applicants who meet testing criteria and qualify under the Indian Preference Act of 1934.

Pay

$17.75 - $28.39 per hour. Exact compensation may vary based on skills, experience, and location.