Member Advocate
Employment Information
Report this job
Job expired or something wrong with this job?
Job Description
Member Advocate assisting members, pharmacies, and healthcare providers with pharmacy benefits at MedOne. Delivering exceptional customer service and managing inquiries via phone, email, and chat.
Responsibilities:
- Member Advocates are the primary source of information for members, pharmacies, and physicians via phone, email, and chat.
- Provide information and resolve member, pharmacy, and physician inquiries.
- Research and resolve claim processing and eligibility issues.
- Serve as an intermediary between healthcare organizations and members in facilitating patient care.
- Compile and record information and correspondence related to member needs or requirements.
- Document engagement outcomes and steps taken with clarity and concision.
- Think quickly on one’s feet while navigating multiple systems to effectively engage with members.
- Work collaboratively and cooperatively with other departments to resolve issues and improve the member, physician, and pharmacy experience.
- Effectively work through difficult conversations with members while maintaining composure, showing empathy, and displaying active listening skills.
Requirements:
- An active CPhT (Pharmacy Tech Certification) is highly encouraged but not required.
- Minimum of 1 year of customer service experience.
- Strong proficiency in Microsoft Office products.
- Willingness to obtain certification as a pharmacy technician within one year of hire.
- Excellent customer service and teamwork skills.
- Flexibility with scheduling, including rotating Saturdays and evening shifts.
- Reliability and punctuality.
- Spanish speaking abilities are highly valued for this role.
Benefits:
- Competitive salary and bonuses that reward your performance.
- Comprehensive health, dental, and vision insurance.
- 401(k) with company match to secure your future.
- Generous paid time off and holidays.
- Opportunities for professional growth and development.
- A vibrant and collaborative work culture.
Similar Jobs
Behavioral Health Member Advocate
Behavioral health member advocate supporting Evernorth members and providers seeking mental health and substance use services. Handling intake, benefits, referrals, scheduling, and clinical-team handoffs through inbound calls.
Provider Relations & Claims Advocate
Provider Relations & Claims Advocate handling inbound behavioral health claims calls for Evernorth Health Services. Resolving provider and member issues through claims research, adjustments, authorizations, and follow-up.
Cancer Screening Advocate – Temporary Contractor
Cancer Screening Advocate coordinating U.S. patient screenings for Color’s virtual cancer clinic. Scheduling appointments, retrieving results, supporting patients, and documenting care in EHR systems.
Member Experience Advocate
Member Experience Advocate assisting members with inquiries related to benefits and claims at Blue Cross and Blue Shield. Engaging members and supporting positive health outcomes through effective communication and problem-solving.
Viewer Experience Advocate
Viewer Experience Advocate enhancing brand image by providing support for Disney Streaming services through technical assistance and product recommendations.
Intake Advocate
Intake Advocate assisting potential claimants with injury claims and guiding them through eligibility processes. Engaging in high call volumes to maintain claimant relationships and confidence in legal representation.
No more related jobs available.