2 Member Advocate Jobs in Bowie, MD
ComplexCare Solutions is Hiring a Member Advocate Near Bowie, MD
Duties and Responsibilities:
- Provide initial triage and first line technical support for users who are wanting a Virtual Home Visit;
- Investigate and resolve technical or procedural issues related to third party used applications and the end user;
- Ability to empower end-users to support themselves using our knowledge base;
- Proactively look for solutions to processes, workflows and incidents and propose improvements you identify;
- Own the customer experience and work to exceed their expectations;
- Communicates professionally with providers, caregivers and health plan members to support supplemental member encounter completions;
- Triage inbound calls and direct to appropriate team members;
- When customer support has low volume work to schedule members for future in person or virtual health visits with our providers;
- Maintain compliance with Inovalon's policies, procedures and mission statement;
- Adhere to all confidentiality and HIPAA requirements as outlined within Inovalon's Operating Policies and Procedures in all ways and at all times with respect to any aspect of the data handled or services rendered in the undertaking of the position; and
- Fulfill those responsibilities and/or duties that may be reasonably provided by Inovalon for the purpose of achieving operational and financial success of the Employer.
- Minimum of 1 year of experience in a technical support environment;
- Superior customer service skills;
- Aptitude for troubleshooting and problem solving;
- Experience utilizing soft phone systems for inbound and outbound calls; (Genesys and Cisco a plus);
- Basic technical knowledge with smartphones, tablets and personal computers; Apple and Android;
- Ability to demonstrate technical comprehension and analytical thinking; Google Suite Certificate a Plus;
- Maintain excellent organizational, written and oral communication skills;
- Ability to recognize trending issues and escalate appropriately as our first line of defense to customer concerns;
- Ability to plan and prioritize work while working in a remote environment;
- Remote workspace with internet access to include consistent minimum 70 mps download speed which must be a dedicated and quiet;
- As you will be working with health information protected by HIPAA guidelines, you will also need a workspace where you can work without anyone in your household seeing your computer screen or hearing your calls while you are working;
- Ability to empathize with customers in a genuine way that lets them know you care;
- Be a team player that can follow and lead as situations dictate;
- Ability to make decisions and solve problems;
- Ability to explain complex issues in beautifully simple terms;
- Proficient in Microsoft Office 365 (Excel, Word, PowerPoint, etc.) and Outlook; and
- Bilingual skills; Spanish desired.
- Associates degree in computer sciences, software design, information systems or equivalent experience preferred;
- Sedentary work (i.e. sitting for long periods of time);
- Exerting up to 10 pounds of force occasionally and/or negligible amount of force);
- Frequently or constantly to lift, carry push, pull or otherwise move objects and repetitive motions;
- Subject to inside environmental conditions; and
- Travel for this position will include less than 5% locally usually for training purposes.
$17.43—$22.22 USD
Studies have shown that women and people of color are less likely to apply for jobs unless they believe they meet every one of the qualifications listed in a job description. If you don't meet every qualification listed but are excited about our mission and the work described, we encourage you to apply regardless. ComplexCare Solutions is most interested in finding the best candidate for the job and you may be just the right person for this or other roles.By embracing diversity, equity and inclusion we enhance our work environment and drive business success. ComplexCare Solutions strives to reflect the diversity of the communities where we operate and of our clients and everyone whom we serve. We endeavor to create a culture of inclusion in which our associates feel empowered to bring their full, authentic selves to work and pursue their professional goals in an equitable setting. We understand that by fostering this type of culture, and welcoming different perspectives, we generate innovation and growth.ComplexCare Solutions is proud to be an equal opportunity workplace and is an affirmative action employer. We are committed to equal employment opportunity regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender identity or Veteran status. We also consider qualified applicants regardless of criminal histories, consistent with legal requirement.The Company maintains a drug free work environment for all of its associates, which includes employees, contractors and vendors. It is unlawful for associates to manufacture, sell, distribute, dispense, possess or use any controlled substance or marijuana in the workplace and doing so will result in disciplinary action, up to and including termination of employment or the contracted relationship.
Job Summary
Full Time
$40k-48k (estimate)
06/24/2024
07/18/2024
The job skills required for Member Advocate include Customer Service, Microsoft Office, Confidentiality, etc. Having related job skills and expertise will give you an advantage when applying to be a Member Advocate. That makes you unique and can impact how much salary you can get paid. Below are job openings related to skills required by Member Advocate. Select any job title you are interested in and start to search job requirements.
The following is the career advancement route for Member Advocate positions, which can be used as a reference in future career path planning. As a Member Advocate, it can be promoted into senior positions as a Managed Care Coordinator that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Member Advocate. You can explore the career advancement for a Member Advocate below and select your interested title to get hiring information.
If you are interested in becoming a Member Advocate, you need to understand the job requirements and the detailed related responsibilities. Of course, a good educational background and an applicable major will also help in job hunting. Below are some tips on how to become a Member Advocate for your reference.
Step 1: Understand the job description and responsibilities of an Accountant.
Quotes from people on Member Advocate job description and responsibilities
An advocate may be a shareholder/owner of business juridical persons and a member of voluntary associations and political parties.
03/21/2022: Altus, OK
Processes incoming calls, faxes and voicemails from claimants, providers, clients, attorneys, etc., resolving their claims related questions and issues in accordance with designed guidelines and policies.
02/24/2022: Albuquerque, NM
Completes outbound calls to claimants, providers, clients and attorneys regarding medical reports, bill requests, return to work, medical authorization forms, etc.
05/08/2022: New Bedford, MA
Communicates claims status and current claim activity; responds to inquiries about jurisdiction- and claim-specific issues.
03/28/2022: Hartford, CT
Inputs newly reported claims and updates to claims into system(s), ensures claim files are properly documented and coding is correct.
04/07/2022: Sioux City, IA
Step 2: Knowing the best tips for becoming an Accountant can help you explore the needs of the position and prepare for the job-related knowledge well ahead of time.
Career tips from people on Member Advocate jobs
High school diploma or GED required.
03/08/2022: Scranton, PA
Associate’s degree from an accredited college or university preferred.
05/02/2022: Troy, NY
Professional certification as applicable to line of business preferred.
03/08/2022: Fayetteville, AR
Must be flexible and adaptable in response to changing patient and provider needs
03/24/2022: Wichita, KS
Sales and retail-based employers look for advocates with sales skills to advise customers on available products or services, using selling techniques to promote specific offers.
03/08/2022: Honolulu, HI
Step 3: View the best colleges and universities for Member Advocate.
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