Customer Care Advocate
About The Position
The Customer Care Advocate – Reimbursement Specialist is responsible for supporting insurance authorization requests, conducting follow-up for insurance determinations, and collaborating with field sales teams and healthcare professionals to obtain necessary documentation. This role requires at least 2 years of experience in medical authorization, strong customer service and communication skills, attention to detail, and adaptability in a fast-paced, team-oriented environment. Success is measured by the ability to navigate complex insurance processes, overturn denials, meet sales quotas, and provide empathetic support to patients, especially those with neurological impairments.
Requirements
- Minimum of 2 years of experience in medical authorization involving medical record review.
- Strong customer service skills and proven success in customer-facing roles.
- Excellent written and verbal communication skills for interacting with diverse stakeholders.
- Attention to detail and organizational skills for managing tasks and documentation accurately.
- Adaptability to navigate evolving processes and changing business needs.
Nice To Haves
- Bachelor’s degree preferred or equivalent relevant experience.
- Proficiency in CRM systems, insurance claim processing software, and Microsoft Office.
- Sales experience with a commission/incentive plan is strongly preferred.
- Knowledge of medical terminology and ICD-10 coding; medical coding certification is a plus.
- Experience in pharmaceutical, biotech, or medical device industries is advantageous.
Responsibilities
- Interact with patients, payers (e.g., Kaiser, Blue Cross Blue Shield), and physician's offices to provide exceptional customer service.
- Obtain necessary documentation and submit insurance claims accurately.
- Handle referral authorizations, pre-service appeals, and denials efficiently.
- Collaborate with field teams across four regions, each consisting of three people, to streamline processes.
- Contribute to closing sales, which is essential for meeting sales quotas.
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
Number of Employees
1,001-5,000 employees
