The OccuNet Company · 3 weeks ago
Member Benefits Advocate - Fairos (On-Site)
Amarillo, TX
Full-time
Onsite
New Grad, Entry LevelThe OccuNet Company is an innovative organization focused on reducing healthcare costs and enhancing access to healthcare services. As a Member Benefits Advocate, you will provide exceptional support to members by addressing inquiries and assisting them in navigating their healthcare plans, ensuring a high-quality experience. This role involves communication with both members and providers to resolve issues and enhance member satisfaction.
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 and needs
Service members as they navigate their employer sponsored healthcare plans by quoting benefits, interpreting plan documents, answering questions regarding claim status and Explanation of Benefit (EOB) documents, and assisting in finding quality care providers
Service providers by providing eligibility verification, quoting benefits, and answering questions regarding claim status and pricing inquiries. Additionally, will work with providers on behalf of members to resolve payment-related inquiries
Proactively anticipate the needs of members and offer solutions that support and enhance the member experience
Work across cross-functional teams, including Account Management and Contracting, 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
Prior healthcare/health insurance call center experience preferred
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