Job Details

Position Title: Customer Service Advocate
Location: Remote
Schedule: Standard
Duration: 6 Months

Position Overview
The Customer Service Advocate serves as the primary point of contact for members, providers, and partners. This role is responsible for answering inquiries, resolving issues, and providing accurate information regarding health plan benefits, eligibility, claims, authorizations, and services. The CSR ensures positive customer experience by delivering professional, compassionate, and solution-oriented support.

Key Responsibilities
• Answer incoming calls and respond to member and provider inquiries with professionalism and empathy.
• Verify eligibility, benefits, and coverage information.
• Help with claims, billing, and prior authorization requests.
• Document all interactions in the system accurately and timely.
• Escalate complex cases to appropriate departments when necessary.
• Educate members on available health resources and encourage preventive care.

Qualifications
• High School Diploma or GED required; Associate's degree preferred.
• 1+ year of customer service experience, preferably in healthcare, insurance, or call center environment.
• Strong communication and active listening skills.
• Bilingual in English and Spanish preferred.
• Ability to multitask, problem-solve, and remain calm in high-volume environments.
• Proficiency with computers and data entry systems.