Member Services Advocate
Imagine360 · United States · 1 mo ago
RemoteRemoteLegalFull-time
Imagine360 is seeking a Member Services Advocate to join the team! The Member Services Advocate provides specialized case management, advocacy, and education to members while fulfilling the mission. The Advocate guides and supports the member through the balance bill defense process while working closely with Client Services, our legal team and external stakeholders to facilitate timely issue resolution and ensure a positive member experience. 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 experienceHandle 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 representationEstablish and build a strong rapport with members and internal counterpartsTrack status and resolution of member inquiries and issuesMaintain accurate and complete documentation and follow-up diaries during all stages of the processCollaborate with other internal stakeholders to address service issues and process/systemic enhancement opportunitiesApply strong knowledge of HIPAA regulations Required Experience/Education: High School Diploma or GEDBachelor's Degree Experience in delivering client-focused solutions based on customer needsExperience in billing, insurance, healthcare or legal environments a plus Skills And Abilities Proficiency in Microsoft Outlook, Microsoft Word, Excel and internet navigationAbility to multi-task and thrive in a fast-paced entrepreneurial companyExcellent written and verbal communication skills What can Imagine360 offer you? Multiple Health plan optionsCompany paid employee premiums for disability and life insuranceParental Leave Policy20 days PTO to start / 10 Paid HolidaysTuition reimbursement401k Company contributionCompany paid Short & Long term Disability plus Life InsuranceProfessional development initiatives / continuous learning opportunitiesOpportunities to participate in and support the company's diversity and inclusion initiatives Want to see our latest job opportunities? Follow us on LinkedIn 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**