Position: Provider Claims Advocate (Remote)

Location: 100% Remote, must work CST time zone

Full-time work hours after training:10:30am CST - 7pm CST

Salary: $40-45k

About Avenica

Avenica is a career-launching platform that uses data science, behavioral psychology, and performance coaching to unleash human potential and launch careers. By getting to know candidates beyond a resume and uncovering individual potential, we jumpstart entry-level careers across the U.S. At Avenica, we put candidates first by advocating for them through the application and interview process. Learn more about Avenica and how we can support your job search at www.avenica.com.

Overview

Avenica is currently evaluating talent for an Entry Level Provider Claims Advocate in the healthcare industry. Advocates are responsible for handling inbound calls from both customers and providers or their office support staff across multiple claims platforms. No industry experience is required.

Responsibilities For Provider Claims Advocate

• Assist a member or provider with understanding how a claim has processed
• Verify claim status for a member or provider
• Educate a member or provider on billing protocols
• Write or correct authorizations to ensure claims are paid correctly
• Send claims for adjustment/reprocessing within multiple claim platforms
• Send a request for a cancelled check copy, to reissue a check, or request a stop pay/do not reissue on a check
• Provide follow-up on issues by making outbound calls when necessary
• Send an Advocate Handoff/Help Request for escalated or complex issues
• Assist providers with contract related inquiries and demographic updates

Requirements For Provider Claims Advocate

• Bachelor’s degree is required
• Ability to work full time: this is a full-time role, 40hrs/week.
• Must be legally authorized to work for any employer in the US; Avenica is unable to provide sponsorship at this time
• Ability to receive and understand direction, ask questions when appropriate, and manage time to work effectively and independently
• Highly motivated and intuitive technical capabilities, or ability to learn new technology quickly
• Strong conflict-resolution skills
• Flexible and creative problem-solver – every call is different, so candidates must be able to be comfortable “thinking on their feet"
• Self-directed and independent, coupled with good judgment in making decisions

Career Path/Opportunities For Growth

• The company puts a strong emphasis on internal career development
• Lead Personal Advocate/Sr. Lead Personal Advocate - responsible for new employee training
• Team Leader - management for Advocate teams
• Account Reps, Wellness Coordinator Reps, Human Resources, and/or other positions within the business structure

Our Process

Upon completing the application, you will be prompted to complete our HAALO assessment. HAALO is simply a way for us to understand your preferences, behaviors, and work styles. The assessment is the final step in our application process.

Avenica is committed to providing equal employment opportunity (EEO) to all persons regardless of age, color, national origin, citizenship status, physical or mental disability, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status, or any other characteristic protected by federal, state or local law.

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