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Customer Advocate I
Location
United States
Posted
15 days ago
Salary
0
Seniority
Mid Level
Job Description
Customer Advocate I
U.S. Department of Labor
• Responsible for responding to a variety of inquiries from members and their dependents, hospitals, providers, attorneys and agents • Interpret multiple contracts in response to benefit and claim inquiries • Research membership database and billing history to resolve membership issues • Provides a high degree of customer service including receiving and responding to telephone calls, letters or walk-in customers • Educates and works with members at different health literacy levels with cultural sensitivity • Enters record of inquiries and related correspondence in computerized tracking system • Researches applicable medical policy and corporate, divisional, and department policies and procedures • Utilizes information, claims data, and membership records to resolve issues independently or with minimal assistance • Fully responsible for proactively maintaining knowledge based (i.e. start-up notes, emails, Blue Help updates, etc.) • Maintains confidentiality of all regulated information in compliance with state and federal laws • Exemplifies professionalism by effectively using proper grammar and spelling when composing verbal and written correspondence that is customer centric, compliant, and adapted to audience • Recognizes trends or common issues and raises to leadership as necessary • Provides solution options as appropriate • Recognizes and uses time management techniques appropriately to manage competing projects and priorities to meet customer needs and deliver on commitments in a timely manner • Delivers positive customer and member experience on a consistent basis • For FEP positions must complete additional FEP training program for FEP system and procedures
Job Requirements
- High school diploma or general education degree (GED)
- 2 years of previous customer service, member services, or claims processing experience; or any combination of required education and experience
- Advanced Keyboarding Knowledge
- Intermediate knowledge of Microsoft Office
- Must have previous experience taking provider calls, preferably BlueCard
- Associates degree from college or technical school (preferred)
- Previous experience with on-line customer service applications (preferred)
- Medical terminology and ICD/CPT coding knowledge (preferred)
- Experience taking Blue KC member calls (preferred)
Benefits
- Highly competitive total rewards package, including comprehensive medical, dental and vision benefits as well as a 401(k) plan that both the employee and employer contribute
- Annual incentive bonus plan based on company achievement of goals
- Time away from work including paid holidays, paid time off and volunteer time off
- Professional development courses, mentorship opportunities, and tuition reimbursement program
- Paid parental leave and adoption leave with adoption financial assistance
- Employee discount program
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