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Care Guide Advocate
Evry HealthCare Guide Advocate assisting patients and providers in navigating health services at Evry Health. This fully remote position upholds patient confidentiality while providing essential member support.
About the role
Key responsibilities & impact- Provide a high degree of customer service and professionalism when interacting with the patients of providers via the phone or email; ability to empathize and diffuse difficult situations professionally and in a caring manner
- Assist members with detailed provider searches utilizing network look-up tools
- Assist members navigating our digital programs and serve as a conduit for escalations and questions
- Contact provider offices or facilities to obtain needed prior authorization pieces such as additional medical records, forms, facility location or Tax ID numbers for claims billing
- Assist with claims work such as adjusting site of service
- Protect/observe patient privacy and confidentiality, per external regulatory requirements (HIPAA) and internal policy and procedures
- Ensures compliance with applicable URAC and NCQA accreditation guidelines and state and federal regulations
Requirements
What you’ll need- High school diploma
- 2-3 years in customer service
- Strong computer skills and experience with electronic medical records
- Intermediate knowledge of Microsoft Windows
- Exceptional verbal and written communication skills
- Ability to work effectively and flexibly in a fast-paced environment with competing priorities
- Experience in health insurance plan.
- Experience with medical office/customer support.
- Associate’s degree in medical field.
Benefits
Comp & perks- Must maintain a dedicated, private workspace that is separate from other living areas and supports the secure handling of confidential information.
- Must have a reliable high-speed internet connection.
- All company-sensitive documents must be kept secure and handled in accordance with Evry Health data privacy and security policies.
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
Customer ServiceClaims ProcessingProvider Search AssistancePrior AuthorizationMicrosoft Windows
Soft Skills
EmpathyProblem SolvingFlexibilityProfessionalismCommunication
Certifications
High School DiplomaAssociate’s Degree In Medical Field