Medicare Member Advocate I
Not Disclosed•Full-TimeHybrid
location_on6th Avenue North, Central City, Birmingham, Jefferson County, Alabama, 35203, United States
About the Team
VIVA HEALTH is a health maintenance organization providing quality, accessible health care as part of the renowned University of Alabama at Birmingham (UAB) Health System. Our employees are deeply rooted in the communities they serve and proudly partner with members on their healthcare journeys. VIVA HEALTH has been recognized by the 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.
About the Role
As a Medicare Member Advocate I, you will be the primary point of contact for members with questions and issues related to their coverage. Working primarily via telephone in a call center environment, you will partner with a team of other advocates to meet department objectives and enhance the customer experience. This role offers work-from-home opportunities but requires occasional on-site work.
Hiring Process
Candidates selected for this position will be required to complete all company-required, job-specific, and departmental training before beginning their duties.
Work location
Work model: Hybrid
6th Avenue North, Central City, Birmingham, Jefferson County, Alabama, 35203, United States
Birmingham, Alabama
Key Responsibilities
- check_circleAnswer member calls regarding eligibility, claims, and coverage questions
- check_circleDocument and forward grievances and Part D exception requests to Appeals
- check_circleWork evening and weekend shifts as needed to meet production standards
- check_circleCreate accurate and timely member documentation for all phone interactions
- check_circleRespond to inquiries about PCPs, address changes, and provider networks
Requirements
- verifiedHigh school diploma or GED
- verifiedOne year of experience in a call center
- verifiedExcellent oral and written communication skills
- verifiedEffective listening and reading comprehension skills
- verifiedAbove-average data entry skills
- verifiedKnowledge of standard office practices and procedures
- verifiedProper written and spoken English skills including spelling, punctuation, and grammar
- verifiedBasic business arithmetic
- verifiedAbility to work with minimal supervision
- verifiedAbility to work under pressure from deadlines and goals
- verifiedAbility to complete all company-required, job-specific, and departmental training
Nice to Have
Some college education. Experience in a health or insurance-related call center. Experience working with the elderly population. Working knowledge of Medicare, medical terminology, and HIPAA guidelines.
Benefits & Perks
check_circleComprehensive Health, Vision, and Dental Coveragecheck_circle401(k) Savings Plan with company match and immediate vestingcheck_circlePaid Time Off (PTO)check_circle9 Paid Holidays annually plus a Floating Holidaycheck_circleTuition Assistancecheck_circleFlexible Spending Accountscheck_circleHealthcare Reimbursement Accountcheck_circlePaid Parental Leavecheck_circleCommunity Service Time Offcheck_circleLife Insurance and Disability Coverage
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Skills, education and keywords
Skills: Medicare, Medical Terminology, Hipaa Guidelines, Data Entry, Word Processing, Spreadsheets, Presentation Programs.
Education: High school diploma or GED required; Some college preferred.
Frequently asked questions about Medicare Member Advocate I at VIVA HEALTH
What does a Medicare Member Advocate I at VIVA HEALTH do?expand_more
In this Medicare Member Advocate I at VIVA HEALTH role, you will answer member calls regarding eligibility, claims, and coverage questions; document and forward grievances and part d exception requests to appeals; work evening and weekend shifts as needed to meet production standards; and create accurate and timely member documentation for all phone interactions.
What are the requirements for this Medicare Member Advocate I role?expand_more
VIVA HEALTH is looking for candidates who meet the following 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; and Knowledge of standard office practices and procedures.
Where is the Medicare Member Advocate I role at VIVA HEALTH located?expand_more
Medicare Member Advocate I at VIVA HEALTH is based in 6th Avenue North, Central City, Birmingham, Jefferson County, Alabama, 35203, United States. This is a hybrid role.
Is this Medicare Member Advocate I job remote, hybrid, or on-site?expand_more
VIVA HEALTH has listed this Medicare Member Advocate I role as hybrid.
How much experience is required for this Medicare Member Advocate I role?expand_more
Medicare Member Advocate I at VIVA HEALTH typically requires 1+ years of relevant experience at the entry level level.
What skills do you need for the Medicare Member Advocate I role at VIVA HEALTH?expand_more
Key skills for Medicare Member Advocate I at VIVA HEALTH include Medicare; Medical Terminology; Hipaa Guidelines; Data Entry; Word Processing; Spreadsheets; and Presentation Programs.
What education is required for Medicare Member Advocate I at VIVA HEALTH?expand_more
Educational requirements for this role: High school diploma or GED required; and Some college preferred.
What category does the Medicare Member Advocate I role belong to?expand_more
Medicare Member Advocate I at VIVA HEALTH is part of the healthcare & nursing job category on Recrutus.
About VIVA HEALTH
VIVA HEALTH operates as a health insurance provider headquartered in Birmingham, Alabama. Established in 1995, the organization serves nearly 300 Alabama companies and supports a membership base exceeding 100,000 individuals. The company focuses on delivering comprehensive healthcare coverage alongside personalized customer service tailored to the local market.
As an affiliate of the UAB Health System, VIVA HEALTH members gain access to the UAB facility and a network of over 70 additional hospitals throughout the state. This network includes major medical centers in Birmingham, Huntsville, Mobile, and Montgomery. The plan also includes worldwide coverage, ensuring support for members regardless of their location during emergencies or illness.
The organization emphasizes reliability and trust for its clients, offering a high-quality plan designed to provide financial security and peace of mind. For inquiries or assistance, the company maintains a customer service line at 800-294-7780.
Browse more roles: All VIVA HEALTH jobs, healthcare & nursing jobs on Recrutus.