Claims Associate Health Advocate Health Advocate 73 reviews

Position Overview
At Health Advocate, we are committed to providing our customers with services that improve the health, well-being and
productivity of their employees. We are looking for the right people with experience who can respond to benefits inquiries
and assist members with plan selection decisions. The Claims Associate serves as the first line of assistance for members’
questions relating to post-service coverage of medical treatment or services. Assist members and their families in
researching and resolving benefit claims issues, including billing discrepancies, coding errors, and insurance claims
processing. Educate members on the components of their benefit plan coverage.
Essential Job Functions
 Handle cases in a timely manner to identify opportunities to resolve the issue by working with plan documents,
carriers, providers and member.
 Research plan information and identify where there may be conflicting information. Escalate as needed to supervisor
or other levels of management for clarification and assistance.
 Research billing issues to determine the possible cause of the error, and assisting with claims resubmission when
needed to correct the issue.
 Heavily working with these resources to analyze and resolve billing issues
o Plan documents and plan benefits
o Interpretation of benefits
o Medical, dental, vision, behavioral health billing and claims adjudication
o FSA, HRA and HSA plans

Other Skills/Abilities
 Bachelor’s degree
 Minimum 1 years claims experience
 Strong research and analytical skills
 Ability to work independently and escalate for assistance as needed
 Strong communication ability to work with various internal and external parties to resolve member issues
 Excellent organizational and time management skills
 Ability to proactively identify payer and provider trends, and to communicate this to management
 Excellent customers service skills
 Excellent listening skills and ability to emphasize with members
 Excellent computer skills and experience in Microsoft Office Suite

Job Type: Full-time

Pay: $0.00 per hour

Benefits:

  • 401(k)
  • Dental insurance
  • Health insurance
  • Paid time off
  • Vision insurance

Schedule:

  • 8 hour shift
  • Day shift
  • Monday to Friday

Work Location:

  • One location

Company's website:

  • https://www.healthadvocate.com/site/

Company's Facebook page:

  • https://www.facebook.com/healthadvocateinc/

Work Remotely:

  • Temporarily due to COVID-19

COVID-19 Precaution(s):

  • Remote interview process

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