Health Advocate Hiring for Claims Associate at Remote Full Time

Why is Health Advocate a great place to work? For starters, Health Advocate employees enjoy helping people every single day. Employees are given the training they need to do their jobs well, and they work with supervisors and staff who are supportive and friendly. Employees have room to grow, and many of Health Advocate’s supervisors are promoted from within the company. Plus, consider these perks: Benefits for full- and part-time employees, generous paid time off, and fun employee events, like holiday luncheons and dress down days!

Health Advocate is looking for Claims Associates to join our team.

A Claims Associate at Health Advocate plays an important role in assisting members in understanding their healthcare claims status Health Advocate offers a comprehensive training program to develop the knowledge you need to be successful in assisting members. The Claims Specialists resolve adjudication issues with health plans and third party administrators. It is an integral role to help our members get the most of their healthcare benefits. If you have previous customer service experience, this role may be a good fit for applying your current knowledge and starting a career in health benefits administration.

We offer Great Benefits! The benefits package for this position includes very generous Paid Time Off (PTO), paid holiday policy, tuition reimbursement and a 401(k) with a match.

Health Advocate has an Onsite fitness facility, yoga classes, Employee Assistance Program, wellness programs, and employee activities to support employees with various goals.

Hours of Operation: Monday through Friday

Job Summary

A Claims Specialist is responsible for handling assigned claims cases in a timely manner to identify opportunities to resolve or explain member claim issues. by working with plan documents, carriers, providers, and members.

Handle assigned cases in a timely manner to identify opportunities to resolve the issue by working with plan documents, carriers, providers, and members

Research billing issues to determine the possible cause of the error and assist with claims resubmission when needed to correct the issue

Assist members with setting up payment arrangements which may include reaching out to healthcare providers to determine payment options and discussing options with supervisor

Resolve questions related to Flexible Spending Accounts (FSA), Health Reimbursement Accounts (HRA), Health Spending Accounts (HSA)

Exercise exceptional customer service skills in an effort to optimize each contact with the member

MINIMUM Requirements.

Education

High School Degree or GED required

Associate degree from an accredited college or university with major course work in business administration, liberal arts, public health, healthcare management, or a related field is preferred.

Basic Knowledge of MS Word and Excel required

Job Type: Full-time

Equal Opportunity Employer. All qualified applicants will receive consideration for employment and will not be discriminated against based on race. color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, disability, age, pregnancy, genetic information or any other consideration prohibited by law or contract.

Equal Opportunity Employer. All qualified applicants will receive consideration for employment and will not be discriminated against based on race. color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, disability, age, pregnancy, genetic information or any other consideration prohibited by law or contract.

VEVRAA Federal Contractor requesting appropriate employment service delivery systems, such as state workforce agencies and local employment delivery systems, to provide priority referrals of protected veterans.

PAY TRANSPARENCY NONDISCRIMINATION PROVISION

The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. 41 CFR 60-I.35(c)