Healthcare Advocate

Healthcare Advocate

At Ayuda Business Management solution Inc, we are seeking a skilled Healthcare Advocate to join our team. As a Healthcare Advocate, you will play a critical role in ensuring that our members receive the best possible care. Your primary responsibility will be to provide exceptional customer service to our members, addressing their concerns and resolving their issues in a timely and professional manner.

Responsibilities

• Familiarize yourself with and remain up-to-date with changes in our health plans and tariffs.
• Greet customers in a friendly, professional manner using our suggested script.
• Answer telephonic and e-mail inquiries in a timely manner.
• Deferring queries to your line manager if you are unable to answer them.
• Furnish members and healthcare practitioners with details regarding members' benefits.
• Grant pre-authorizations for medical treatment, if covered.
• Advise members of outstanding co-payments.
• Provide existing and prospective members with details of network providers.
• Cancel members' plans upon their request, or due to recurrent nonpayment, if directed by your line manager.
• Ensure that your workspace remains tidy and that you are equipped with all relevant tools and resources.

Requirements

• High school diploma or equivalent.
• Prior experience as a customer service specialist or equivalent, ideally within a similar setting.
• Sales experience is highly advantageous.
• Computer literate with an above-average typing speed.
• Superb verbal and written communication skills.
• Thorough, with excellent listening skills.
• Ability to calm irate, anxious, or grieving customers.
• Capacity to navigate stressful situations with ease.
• Available to work shifts, which may include work during evenings, weekends, and public holidays.

What We Offer

At Ayuda Business Management solution Inc, we offer a competitive salary and a range of benefits to our employees. We are committed to providing a supportive and inclusive work environment, where you can grow and develop your skills.

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