Member Benefit Advocate

**Bilingual English/Spanish Speaking Preferred**
📍 Remote
10am-7pm CST Monday-Friday
First week of training is onsite in Amarillo, TX
Job Description:
Insight Global's client is seeking a compassionate, detail-oriented Member Benefits Advocate to join a rapidly growing healthcare organization focused on delivering an exceptional member experience while reducing healthcare costs. In this role, you'll serve as a trusted resource for health plan members and healthcare providers, helping them understand coverage, benefits, claims, billing issues, and eligibility information.
Preferred Experience:
2+ years of customer service experience in healthcare, member services, or a call center environment
Quoting Benefits experience
Experience interpreting and explaining health insurance benefits
Knowledge of eligibility verification, claims status, EOBs, and healthcare benefits
Strong communication and problem-solving skills
Ability to navigate sensitive situations with empathy and professionalism
High attention to detail and strong follow-through
Responsibilities:
Support members through inbound calls, email, and chat interactions
Explain healthcare benefits, eligibility, claim status, and EOBs
Assist members with billing questions and provider access issues
Work directly with healthcare providers regarding benefits, eligibility, payments, and claims inquiries
Investigate and resolve member and provider concerns from start to finish
Collaborate with internal teams to improve member outcomes and experiences
Maintain HIPAA compliance and accurate documentation
Pluses:
Bilingual English/Spanish
Experience supporting self-funded health plans, TPAs, or healthcare payers
Knowledge of medical billing or balance billing situations
Experience assisting both members and providers

Work arrangement
Yes