Communities Member Care Advocate - Bilingual

Responsibilities

The Communities Member Care Advocate will answer in-bound telephone calls and virtual chats from members to provide administrative, financial, and clinical support with empathy and respect, owning the member’s health care journey from start to finish by answering calls, communicating via Phone and Chat, advocating with insurance companies and community healthcare providers to resolve medical billing problems, and researching available benefits. They will contribute to the provider directory by researching and contacting providers, serve as the liaison between Included Health, its clinicians, and members, follow set processes, procedures, and workflows in assisting members with advocating and navigating member healthcare, educating members on their benefits coverage, triaging/supporting claims and billing inquiries, prior authorizations, and other support questions, connecting members to IH clinical services, and upholding IH’s mission.