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Customer Service / Patient Advocate / Member Services
9501-B Manchaca Rd #100 Austin, TX 78748
A family like atmosphere in a faith-based company
Leading provider of innovative solutions in healthcare professional services
Customer Service / Patient Advocate / Member Services Role:
In this role, you will have the opportunity to take inbound calls from clients and make outbound calls as well. You will assist members with finding health care providers, doing cost comparisons, negotiating medical bills and out-of-pocket experiences, etc. You will also communicate via electronic correspondence.
Your responsibility is to take all of the pertinent details from the client so that you can negotiate with the insurance company.
Will process and manage member cases and accounts generated daily from inbound calls and emails.
Will work with clients, medical providers, and others in the healthcare field to navigate the healthcare system locating answers and data for a range of client’ s needs.
Will handle difficult and sensitive situations
Handles and manages a personal caseload
Receives daily inbound calls from members to open and work cases with a diverse level of complexity and length to completion
Makes daily outbound calls to patients and healthcare providers
Negotiates and mediates equitable solutions to out-of-pocket medical bills via phone and emails with the patient and their providers
Conducts deep-level problem solving on a wide variety of healthcare-related issues and topics to reach and communicate solutions in a timely manner
Work with internal and external solution databases and web-based outlets to discover answers to member’ s questions and information requests
Work daily with members from varying backgrounds to recognize and execute solutions based on member’ s requests and needs
Understand and stay up-to-date on new and existing healthcare regulations and laws including insurance practices, Medicare, Medicaid, the Affordable Care Act and more.
Access and contribute to a growing solutions database
Delivers results to patients and providers in a clear, concise manner
Customer Service / Patient Advocate / Member Services Background Profile:
High School diploma is required
Bachelor’ s degree is preferred
At least 1-2 years of healthcare, insurance, pharmacy or related experience
At least 1-2 years of experience with Call Center, Customer Service functions
Healthcare, hospital, insurance and medical billing experience
Bilingual in Spanish would be ideal for this role, but is not required
Experience with CRM system (SalesForce experience is a plus) is preferred
HIPAA and Protected Health Information knowledge is preferred
Account management or case management experience is highly preferred
The ideal candidate is going to desire and be comfortable working in a Christian environment.
Outstanding customer service skills
Excellent verbal and written communication skills
Caring attitude, strong attention to detail skills, desire to learn, and outstanding integrity
Features and Benefits while On Contract:
We go beyond the basic staffing agency offerings! You can see the extensive list of benefits on our website under the Candidate “ Benefits” tab.
Features and Benefits of Client:
Health, Dental and Vision Insurance
Disclaimer: sensitive and personal data will not be requested by Frontline Source Group or its affiliates until a job offer is made and accepted. If you ever doubt the validity of our job postings, we encourage you to call one of our branch locations to verify the status on any job.
Rahil Moiz holds his MBA from Texas Woman’s University and Bachelor’s from UT Dallas. He is experienced in recruitment with emphasis on Accounting, Finance and HR positions. Rahil finds his greatest success is being a relationship builder between his clients and job candidates and identifying the ways that a placement will be mutually beneficial. He will spend time to become a true partner for your search, so you will never feel like just a number. Contact him today to talk about your job search!
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