Service Advocate IV – Clinical Support

GuideWell Source

Service Advocate supporting Florida Blue members and providers with benefit questions, clinical referrals, and insurance authorizations. Documenting cases and coordinating clinical reviews across healthcare stakeholders.

Posted 8/20/2026full-timeFlorida • 🇺🇸 United StatesJuniorMid-Level💰 $19 - $23 per hourWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in customer service and clinical referral management, ensuring effective communication between plan members, providers, and clinical professionals. Proficient in verifying insurance coverage and managing authorizations to facilitate seamless healthcare access.

Highest-signal resume keywords

Customer ServiceClinical Referral ManagementInsurance VerificationAuthorization ProcessingCommunication Skills

ATS Keywords

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Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills

Benefit ResearchData DocumentationContract Eligibility DeterminationInpatient Admission AuthorizationOutpatient Certification

Soft Skills

Problem SolvingTeam CollaborationGuidance and Mentorship

Tools & Technologies

Departmental Systems

Certifications & Qualifications

High School DiplomaGED

Industry Keywords

HealthcarePatient AdvocacyClinical ReviewReferral SourcesHealth Plans

About the role

Key responsibilities & impact

Provide customer service to plan members and/or providers by answering benefit questions, researching and resolving issues and inquiries, and explaining the Company’s products and services
Act as a liaison between hospitals, physicians, health plans, vendors, patients, and referral sources
Initiate and manage clinical referrals for members
Verify insurance coverage and obtain authorizations when needed
Enter referrals and document communications, actions, and other data in departmental systems
Determine contract and benefit eligibility
Provide authorization for inpatient admission, outpatient certification, and/or prior authorization requests
Refer cases requiring clinical review to appropriate clinical professionals
Provide guidance and expertise to less experienced Service Advocates

Requirements

What you’ll need

2+ years related work experience
High school diploma or GED
Ability to perform sedentary work, exerting up to 10 pounds of force occasionally
Travel to and from corporate or regional offices may be required

Benefits

Comp & perks

Medical, dental, vision, life and global travel health insurance
Short- and long-term disability programs
Leave programs to support personal circumstances
Retirement Savings Plan including employer match
Paid time off
Volunteer time off
10 holidays
2 well-being days
Additional voluntary benefits
Comprehensive wellness program
Incentive or commission compensation opportunities
Regular annual reviews with pay-for-performance considerations for base pay increases