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VIVA HEALTH · 1 week ago

Medicare Member Advocate I

Birmingham, Alabama, United States

Full-time

Hybrid

Entry Level

$17/hr - $17/hr

1+ years exp

VIVA HEALTH, part of the University of Alabama at Birmingham Health System, is a health maintenance organization dedicated to providing quality healthcare. The Medicare Member Advocate I will assist members with inquiries related to their Medicare coverage primarily via telephone, working to enhance the customer experience in a call center environment.

Health CareInsurance

Responsibilities

Answer the minimum number of calls for a full eight-hour day as outlined in the Minimum Production and Quality Standards

Receive and respond professionally and courteously to all member inquiries regarding eligibility, claims, general coverage questions, Primary Care Physician (PCP), address changes, provider network, and any questions or concerns about their health and prescription drug benefits with VIVA Medicare

Document and forward grievances and Part D exception requests to the Appeals & Grievances department according to established policies and procedures

Create accurate and timely member documentation concerning all phone calls taken according to departmental operating guidelines

Ability to work evening and weekend shifts as needed

Qualification

Call center experienceMedicareData entry skillsEffective listeningBasic business arithmeticHIPAA guidelinesCommunication skillsWork under pressure

Required

High school diploma or GED

One year of experience in a call center

Excellent oral and written communication skills

Effective listening and reading comprehension skills

Above-average data entry skills

Knowledge of standard office practices and procedures, including the operation of office equipment, including personal computers and word processing, spreadsheets, and presentation programs

Proper written and spoken English skills including spelling, punctuation, and grammar; basic business arithmetic

Ability to work with minimal supervision

Ability to work under pressure from deadlines and goals

Ability to complete all company-required, job-specific, and departmental training