Communities Member Care Advocate - Bilingual

Care Coordinators, who are our most visible representatives of our mission to raise the standard of healthcare for everyone, are responsible for providing personalized service, via phone and chat, to Included Health members to connect them with high quality, culturally affirming providers; answer their healthcare benefits questions; initiate healthcare services on their behalf; and assist them with navigating the complexities of the healthcare system. Answers in-bound telephone calls and virtual chats in a Contact Center environment from members to provide administrative, financial, and clinical support with empathy and respect. Own the member's health care journey from start to finish by answering member calls; communicating with members via Phone and Chat; advocating with insurance companies and community healthcare providers to resolve medical billing problems; and researching available benefits in order to identify the optimal resolution for the member. Clearly, timely, and comprehensively collect, capture and document information gained in member interactions, including, but not limited to, demographic and insurance information. Contribute to the provider directory by researching and contacting providers to ask a series of questions to collect comprehensive data about their practice and to evaluate if the provider is high-quality and provides culturally competent & affirming care. Serves as the liaison between Included Health, its clinicians, and members by supporting and promoting clinical services to members.