The OccuNet Company · 3 months ago
Member Advocate - Fairos (On-Site)
Amarillo, Texas
Full-time
Onsite
New Grad, Entry LevelThe OccuNet Company is an innovative organization aiming to reduce healthcare costs while enhancing the experience of its members. As a Member Advocate, you will provide exceptional support to members, resolving inquiries related to medical claims and ensuring a high-quality service experience across various channels.
Health CareInsurance
Responsibilities
Uphold best-in-class member experiences by owning the end-to-end resolution process, which includes thoughtfully guiding members throughout their healthcare journey
Practice TOC’s “outward mindset” philosophy through providing empathic support to members, remaining conscious of their unique situations
Educate members on navigating TOC’s healthcare plans
Liaise with and support members to coordinate their health plan needs, such as answering billing questions and providing plan education
Work with providers on behalf of members to resolve payment-related inquiries
Proactively anticipate the needs of members and effectively problem solve ways to support the member experience
Work across cross-functional teams including Account Managers and Billing Contractors to establish processes that relieve any challenges members are facing
Uphold compliance standards relating to HIPAA and Department of Labor guidelines when corresponding with members or providers and maintaining documentation
Maintains confidentiality of sensitive information
Perform other duties as assigned
Qualification
Required
Team-first mindset with a high level of motivation and drive
Naturally compassionate and easily able to navigate sensitive, challenging situations with care
Passionate and proactive about contributing to organizational missions focused on improving member experiences
Persistent with a drive to see tasks through with a high standard for attention to detail
High school diploma or equivalent required
Benefits
401(k) with matching
Dental insurance
Health insurance
Vision insurance
Health savings account
Paid time off
Company
The OccuNet Company
The OccuNet Company is an innovative healthcare cost containment company that offers out-of-network solutions (OccuNet), reference-based pricing (Fairos), and pharmacy benefits management (FairosRx).
Founded in 1998
201-500 employees
Funding
Current Stage
Growth StageLeadership Team
Scott Arlotta
Senior Vice President of Strategy and Business Development
Company data provided by crunchbase