Customer Care Advocate
About The Position
The Customer Care Advocate – Reimbursement Specialist plays a crucial role in supporting insurance authorization requests, following up on insurance determinations, and working closely with field sales teams and healthcare professionals to gather necessary documentation. This position requires at least two years of experience in medical authorization, exceptional customer service and communication skills, attention to detail, and the ability to adapt in a fast-paced, team-oriented environment. Success in this role is measured by the ability to navigate complex insurance processes, overturn denials, meet sales quotas, and provide empathetic support to patients, particularly those with neurological impairments.
Requirements
- Minimum of 2 years in medical authorization involving medical record review.
- Strong written and verbal communication skills for interacting with patients and professionals.
- Ability to manage tasks, prioritize, and ensure accuracy in documentation.
- Willingness to adapt to evolving processes and changing business needs.
- Experience in environments requiring frequent adaptation.
Nice To Haves
- Bachelor’s degree preferred or equivalent relevant experience.
- Proficiency in medical terminology and ICD-10 coding; medical coding certification preferred.
- Hands-on experience with CRM systems, Call Center software, and Microsoft 365.
- Experience with commercial payers, Medicaid, and workers' compensation.
- Experience in commission/incentive-based roles, preferably in medical device, biotech, or pharmaceutical industries.
Responsibilities
- Interact with patients, payers, and physician's offices to provide excellent customer service.
- Obtain documentation and submit claims efficiently.
- Handle referral authorizations, pre-service appeals, and denials effectively.
- Collaborate with field teams across four regions, consisting of three people per region.
- Achieve sales quotas by closing sales as the final step in the process.
Benefits
- Medical, dental & vision
- Critical Illness, Accident, and Hospital
- 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available
- Life Insurance (Voluntary Life & AD&D for the employee and dependents)
- Short and long-term disability
- Health Spending Account (HSA)
- Transportation benefits
- Employee Assistance Program
- Time Off/Leave (PTO, Vacation or Sick Leave)
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
