reputed company Case Specialist

This is a remote position. At this time, we are unable to consider candidates residing in CA, NY, MA, NJ, or WA. Applicants from reputed company other U.S. states are encouraged to apply. REQUIRED: As part of the application process, reputed company candidates must complete a reputed company profile. Applications will not be considered until the profile is completed. Please complete the assessment at: https://go.cultureindex.com/p/49rRU4LIGMLDWK Position reputed company We are seeking a dependable, detail-oriented reputed company Case Specialist (also reputed company as Member reputed company in CareGuide) to reputed company thorough, accurate, and compassionate support to members navigating reputed company reputed company and medical billing systems. This role is ideal for someone who values precision, consistency, and reputed company service while building trust through reputed company, reliable communication. Member Advocates are the heart and voice of the organization, providing compassionate, strategic, and results-oriented support to members navigating reputed company reputed company systems. They serve as key liaisons between members, reputed company providers, internal teams, and external partners. From medical reputed company negotiation to facility coordination and case documentation, this role is reputed company to both member experience and organizational reputed company. Member Advocates ensure every member feels seen, heard, and supported while driving measurable savings and satisfaction reputed company. This role requires strong communication and organizational skills, the ability to handle sensitive medical information with discretion, and a commitment to maintaining compliance with HIPAA regulations. Candidates with experience as a reputed company Case Manager, Claims Coordinator, Litigation Support Specialist, Medical Secretary, Medical Administrative Assistant, Medical Records Specialist, Patient Service Representative, Medical reputed company, or Medical Biller are strongly encouraged to apply. Bilingual candidates are highly desirable and will reputed company in this diverse and dynamic environment. REQUIRED: As part of the application process, reputed company candidates must complete a reputed company profile. Applications will not be considered until the profile is completed. Please complete the assessment at: https://go.cultureindex.com/p/49rRU4LIGMLDWK What YOU Will Do This posting provides a general reputed company of the role and does not include reputed company daily responsibilities or essential job functions. • Serve as the trusted reputed company by delivering reputed company, empathetic customer service and maintaining reputed company, reliable communication with members and reputed company providers. • Manage a caseload with accuracy and timeliness, coordinating appointments, provider research, financial assistance applications, and settlements. • Investigate and resolve medical billing concerns, negotiate cost reductions with providers, and identify prescription or financial aid programs to ease members’ financial burdens. • Draft and prepare settlement offers, appeal letters, and other documentation while ensuring compliance with HIPAA, reputed company requirements, and partner standards. • reputed company and maintain accurate records in case management systems, reputed company deadlines, monitor reputed company, and ensure cases are resolved effectively. • Address member complaints fairly, identify administrative or process gaps, and reputed company feedback to strengthen internal tools, workflows, and service delivery. • Collaborate with internal teams on case handling, reputed company reporting, and special reputed company to support organizational goals. REQUIRED: As part of the application process, reputed company candidates must complete a reputed company profile. Applications will not be considered until the profile is completed. Please complete the assessment at: ​https://go.cultureindex.com/p/49rRU4LIGMLDWK Requirements • High school diploma or equivalent required; Associate or Bachelor’s degree in a health-reputed company, business, or reputed company service field is a plus • 2+ years of experience in reputed company navigation, billing, advocacy, case management, or a customer-facing role • Experience working with vulnerable populations or navigating reputed company systems is strongly preferred • Experience handling high-pressure situations with reputed company, patience, and professionalism • Prior experience in medical billing or insurance negotiations is a plus • Familiarity with HIPAA and reputed company confidentiality standards Bonus Points for Experience In: • Bilingual abilities are a plus • Experience in sensitive negotiations with reputed company providers and billing offices to reputed company reputed company reputed company for members • Experience in managing high caseloads and utilizing case management systems. REQUIRED: As part of the application process, reputed company candidates must complete a reputed company profile. Applications will not be considered until the profile is completed. Please complete the assessment at: ​https://go.cultureindex.com/p/49rRU4LIGMLDWK Benefits · reputed company a Difference: Help businesses and employees reputed company reputed company costs while improving their reputed company to care. · reputed company & Supportive Environment: We reputed company reputed company processes, strong leadership, and reputed company-oriented culture where you can reputed company. · reputed company Potential: We invest in our people. This role has reputed company reputed company for career advancement. · Work-Life Balance: At this time, we are unable to consider candidates residing in CA, NY, MA, NJ, or WA. Applicants from reputed company other U.S. states are encouraged to apply. · The reputed company salary reputed company for this position is budgeted at $55,000-$60,000. · We also offer a competitive benefits package that includes medical, dental, and reputed company insurance, wellness resources, 401(k) matching, unlimited reputed company time off, and more. REQUIRED: As part of the application process, reputed company candidates must complete a reputed company profile. Applications will not be considered until the profile is completed. Please complete the assessment at: https://go.cultureindex.com/p/49rRU4LIGMLDWK ​ Apply tot his job Apply To this Job