Customer Advocate II

About the role

At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers. Join HCSC and be part of a purpose-driven company that will invest in your professional development.

Responsibilities

• Provide assistance to providers and Indian Health Services (IHS).
• Research, analyze, and respond to telephone and written inquiries related to claims issues, pricing issues, and coordination of benefits.
• Resolve inquiries, including adjustments and make recommendations regarding process improvements.
• Act as a subject matter expert regarding projects and testing.
• Work closely with the IHS customer and act as a liaison between the provider and IHS.

Requirements

• High school diploma OR GED.
• 1 year customer service experience in a health care or health insurance environment.
• Experience evaluating customer situations, making decisions, and responding quickly to questions.
• Data entry and/or typing experience.
• Interpersonal, verbal and written communication skills and independent decision making skills.
• Analytical and organizational skills.
• Ability to spend approximately 90% of the scheduled time on the phone according to business needs and sit for long periods of time with scheduled breaks.

Qualifications

• 1½ years customer service experience.
• 6 months data entry experience in an office environment.
• Experience working with various lines of business, i.e. CDHP, Medicare, Wellness, and Disease Management.
• Knowledge of medical terminology and anatomy.
• Referral preference given to applicants able to take and meet testing criteria.
• Preference in filling vacancies is given to qualified Indian candidates in accordance with the Indian Preference Act of 1934 (title 25, USC Section 472); Native American Indian Preference shall apply pursuant to the Indian Self-Determination and Education Assistance Act (24 U.S.C. 450, et seq.), 25 CFR 271.44 and other relevant laws (title 25, INJLF).

Pay

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