Job details

Client Advocate Associate - Remote (Pacific Standard Time)

Are you looking to accelerate your career without having to hide your authentic self - a place where you can be you? A career that’s making a bigger impact on the world? At OneDigital, we are on a mission to help people do their best work and live their best lives. From the services we offer to the way we show up for each other each day, we are fueling dreams, achieving big goals, and embracing each other’s truest selves.

We understand that pursuing a new job is a big deal. Maybe you’re afraid you won’t fit in. Well, here’s the good news. For us, the days of “fit in to get in” are over and being different is not a barrier to getting ahead. Greatness comes in all shapes, sizes, colors, and experience levels. If you are looking for a people-first culture that is wired for growth, driven to serve, and totally committed to having your back, give us a shot. Your best life awaits.

Our Newest Opportunity:

The Advocate Associate is responsible for assisting clients’ employees with questions regarding general eligibility, ID cards requests, invoicing, ensuring accuracy in carrier billing eligibility, explaining benefit plan options, providing benefit plan documents, and confirming basic benefit plan information. The CA Associate serves as the direct point of contact for these employees and handles incoming phone calls and emails as needed. They will work under the direction of the Client Advocate and collaboratively as part of an internal team.

Essential Duties and Responsibilities (include but are not limited to):

Assist clients and their employees with various benefit questions which may include:
- Finding network participating physicians/facilities
- Understanding benefit plans
- Resolving transition of care issues
- Confirming the member cost-share under their plan
Completing annual employee survey reports

Provide ongoing client billing and eligibility support including:
- New hire processing
- Qualifying event processing
- Eligibility verifications & corrections
- ID card orders
- PCP updates and medical group confirmations
- Carrier online access setup
- Retrieving carrier invoices
Ensure the protection and security of a consumer’s personal, confidential, and identifiable information in a professional and responsible manner, according to the standards and requirements of the Health Insurance Portability and Accountability Act (HIPAA)
Contributes to overall Team goals and objectives through Team participation and the sharing of individual skills and strengths

Qualifications, Skills and Requirements: