Medicare Member Advocate I

Viva Health•Birmingham, AL

1d•Hybrid

About The Position

The Medicare Member Advocate I will assist members with questions and issues related to their coverage with VIVA MEDICARE – primarily via telephone in a call center environment. This position will work with a team of other Medicare Member Advocates to meet the overall department objectives to enhance the customer experience. This position has work-from-home opportunities but requires occasional on-site work. VIVA HEALTH, part of the renowned University of Alabama at Birmingham (UAB) Health System, is a health maintenance organization providing quality, accessible health care. Our employees are a part of the communities they serve and proudly partner with members on their healthcare journeys. VIVA HEALTH has been recognized by Centers for Medicare & Medicaid Services (CMS) as a high-performing health plan and has been repeatedly ranked as one of the nation's Best Places to Work by Modern Healthcare.

Requirements

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

Nice To Haves

Some college
Experience in health or insurance-related call center
Experience working with the elderly population
Working knowledge of Medicare, medical terminology, and HIPAA guidelines

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.

Benefits

Hourly pay starting at $17.00 and up
Strong incentive plan with an average of $7000/year (start earning as quickly as your 3rd month!)
Comprehensive Health, Vision, and Dental Coverage
401(k) Savings Plan with company match and immediate vesting
Paid Time Off (PTO)
9 Paid Holidays annually plus a Floating Holiday to use as you choose
Tuition Assistance
Flexible Spending Accounts
Healthcare Reimbursement Account
Paid Parental Leave
Community Service Time Off
Life Insurance and Disability Coverage
Employee Wellness Program
Training and Development Programs to develop new skills and reach career goals
Employee Assistance Program