Insurance and Billing Specialist

Integrity Health Products•Somerville, NJ

1d•$20 - $24•Onsite

About The Position

Full time, 30/hr week, Member Advocate position available for our outpatient family practice located in Somerville, NJ. This office is part of the Partnership Health family of offices in New Jersey open only to the members Do you have a passion for helping others troubleshoot issues with the complex healthcare system? Are you a person who yearns to support those who may come to you with sensitive and personal health care issues? We are looking for a self-disciplined, energetic, passionate full-time employee to join our professional and compassionate team of high-touch on-site Partnership Health Center Member Advocates dedicated to helping our members and their dependents deal with the intricacies of the healthcare system. Integrity Health manages health plans for public employers using our dedicated Partnership Health Center as a primary care "home-base" for their employees. We are looking for a self-disciplined, full-time employee to join our professional team in the position of an onsite Partnership Health Center Member Advocate . This role is dedicated to helping those eligible to enjoy Partnership Health Center services deal with the bureaucratic intricacies of their healthcare plan. It is a high visibility, onsite position that requires interaction with health plan sponsors, insurance companies and covered members as well as clinical staff at the Partnership Health Center . A Member Advocate will assist health plan members with questions regarding health plan coverage and processing of claims, as well as a variety of other informational and management issues of their health plan

Requirements

Strong interpersonal skills
Robust understanding of health insurance benefits and claims processing
Professional communications, including writing and strong in-person relationship skills with clients and external contractors
Proficiency in Microsoft Office Suite: Outlook, Word, and Excel specifically
Candidate must have the ability to work independently, as well as collaborate as a team player
Experience in health insurance administration and claims processing

Nice To Haves

Bachelors preferred; Or equivalent of 4+ years' experience

Responsibilities

Assist members with questions regarding benefits, network access, prior authorizations, and claim processing
Manage certain insurance carrier communications for members
Build and maintain relationships with client's administrative personnel to ensure client satisfaction, including but not limited to assisting with administration of wellness programs, health fairs, and health center promotional efforts
Provide administrative support to clinical staff as directed, including provider credentialing processes and vaccinations programs.