Senior Member Advocate-Product

Job description

Job DetailsJob Location: Allied Benefit Systems - CHICAGO, IL 60606Position Type: Full TimeSalary Range: $23.00 - $24.00 HourlyJob Category: Customer ServicePOSITION SUMMARY This employee will be responsible for all plan member communications in the Allied Advocate Department. Employee will work with plan members throughout the process starting with patient letter and finishing with call to explain final resolution. Communication may be in written or verbal form. ESSENTIAL FUNCTIONS: Confer with members by telephone and/or email to answer questions or provide information in response to inquiries on Allied Advocate claims. Contact members to respond to inquiries or to notify them of claim investigation results and any planned adjustments. Coordinate with member and/or client services to obtain a signed HIPAA release to aide with the negotiation process. Keep records of member and provider interactions and transactions, recording details of inquiries, complaints, and comments, as well as actions taken. Obtain and examine all relevant information to assess need for negotiation on balance due issues. Work with other departments (Account Management, Client Services, Customer Service) as...