Member Advocate I

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    "jobTitle": "Member Advocate I",
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    "description": "<p><span style=\"font-size:12pt;\"><span><span style=\"font-family:'Times New Roman', serif;\"><b><span style=\"font-size:11pt;\"><span style=\"font-family:Arial, sans-serif;\">POSITION SUMMARY</span></span></b></span></span></span></p>\n\n<p style=\"text-align:justify;\"><span style=\"font-size:12pt;\"><span><span style=\"font-family:'Times New Roman', serif;\"><span style=\"font-size:11pt;\"><span style=\"font-family:Arial, sans-serif;\">The Member Advocate will be responsible for all plan member communications in the Allied Advocate Department. Advocate will work with plan members throughout the process starting with patient letter and finishing with call to explain final resolution. Communication may be in written or verbal form.</span></span></span></span></span></p>\n\n<p> </p>\n\n<p><span style=\"font-size:12pt;\"><span><span style=\"font-family:'Times New Roman', serif;\"><b><span style=\"font-size:11pt;\"><span style=\"font-family:Arial, sans-serif;\">ESSENTIAL FUNCTIONS</span></span></b></span></span></span></p>\n\n<ul>\n\t<li><span style=\"font-size:12pt;\"><span><span style=\"font-family:'Times New Roman', serif;\"><span style=\"font-size:11pt;\"><span style=\"font-family:Arial, sans-serif;\">Confer with members by telephone and/or email to answer questions or provide information in response to inquiries on Allied Advocate claims. </span></span></span></span></span></li>\n\t<li><span style=\"font-size:12pt;\"><span><span style=\"font-family:'Times New Roman', serif;\"><span style=\"font-size:11pt;\"><span style=\"font-family:Arial, sans-serif;\">Contact members to respond to inquiries or to notify them of claim investigation results and any planned adjustments.</span></span></span></span></span></li>\n\t<li><span style=\"font-size:12pt;\"><span><span style=\"font-family:'Times New Roman', serif;\"><span style=\"font-size:11pt;\"><span style=\"font-family:Arial, sans-serif;\">Coordinate with member and/or client services to obtain a signed HIPAA release to aide with the negotiation process. </span></span></span></span></span></li>\n\t<li><span style=\"font-size:12pt;\"><span><span style=\"font-family:'Times New Roman', serif;\"><span style=\"font-size:11pt;\"><span style=\"font-family:Arial, sans-serif;\">Keep records of member and provider interactions and transactions, recording details of inquiries, complaints, and comments, as well as actions taken. </span></span></span></span></span></li>\n\t<li><span style=\"font-size:12pt;\"><span><span style=\"font-family:'Times New Roman', serif;\"><span style=\"font-size:11pt;\"><span style=\"font-family:Arial, sans-serif;\">Obtain and examine all relevant information to assess need for negotiation on balance due issues. </span></span></span></span></span></li>\n\t<li><span style=\"font-size:12pt;\"><span><span style=\"font-family:'Times New Roman', serif;\"><span style=\"font-size:11pt;\"><span style=\"font-family:Arial, sans-serif;\">Work with other departments (Account Management, Client Services, Customer Service) as needed to resolve member issues</span></span></span></span></span></li>\n\t<li><span style=\"font-size:12pt;\"><span><span style=\"font-family:'Times New Roman', serif;\"><span style=\"font-size:11pt;\"><span style=\"font-family:Arial, sans-serif;\">Meet and sustain productivity and quality metrics determined by management.</span></span></span></span></span></li>\n\t<li><span style=\"font-size:12pt;\"><span><span style=\"font-family:'Times New Roman', serif;\"><span style=\"font-size:11pt;\"><span style=\"font-family:Arial, sans-serif;\">Other duties as assigned.</span></span></span></span></span></li>\n</ul>\n\n<p> </p>\n\n<p><span style=\"font-size:12pt;\"><span><span style=\"font-family:'Times New Roman', serif;\"><b><span style=\"font-size:11pt;\"><span style=\"font-family:Arial, sans-serif;\">EDUCATION</span></span></b></span></span></span></p>\n\n<ul>\n\t<li style=\"margin-left:8px;\"><span style=\"font-size:12pt;\"><span style=\"font-family:'Times New Roman', serif;\"><em><span style=\"font-size:11pt;\"><span style=\"font-family:Arial, sans-serif;\">High school diploma or equivalent work experience required.</span></span></em></span></span></li>\n</ul>\n\n<p> </p>\n\n<p><span style=\"font-size:12pt;\"><span><span style=\"font-family:'Times New Roman', serif;\"><b><span style=\"font-size:11pt;\"><span style=\"font-family:Arial, sans-serif;\">EXPERIENCE AND SKILLS</span></span></b></span></span></span></p>\n\n<ul>\n\t<li><span style=\"font-size:12pt;\"><span><span style=\"font-family:'Times New Roman', serif;\"><span style=\"font-size:11pt;\"><span style=\"font-family:Arial, sans-serif;\">1-2 years of customer service experience required.</span></span></span></span></span></li>\n\t<li><span style=\"font-size:12pt;\"><span><span style=\"font-family:'Times New Roman', serif;\"><span style=\"font-size:11pt;\"><span style=\"font-family:Arial, sans-serif;\">Insurance knowledge preferred.</span></span></span></span></span></li>\n\t<li><span style=\"font-size:12pt;\"><span><span style=\"font-family:'Times New Roman', serif;\"><span style=\"font-size:11pt;\"><span style=\"font-family:Arial, sans-serif;\">Excellent verbal and written communication skills.</span></span></span></span></span></li>\n\t<li><span style=\"font-size:12pt;\"><span><span style=\"font-family:'Times New Roman', serif;\"><span style=\"font-size:11pt;\"><span style=\"font-family:Arial, sans-serif;\">Excellent interpersonal and customer service skills.</span></span></span></span></span></li>\n\t<li><span style=\"font-size:12pt;\"><span><span style=\"font-family:'Times New Roman', serif;\"><span style=\"font-size:11pt;\"><span style=\"font-family:Arial, sans-serif;\">Proficient with Microsoft Office Suite or related software.</span></span></span></span></span></li>\n\t<li><span style=\"font-size:12pt;\"><span><span style=\"font-family:'Times New Roman', serif;\"><span style=\"font-size:11pt;\"><span style=\"font-family:Arial, sans-serif;\">Excellent time management skills with a proven ability to meet deadlines.</span></span></span></span></span></li>\n\t<li><span style=\"font-size:12pt;\"><span><span style=\"font-family:'Times New Roman', serif;\"><span style=\"font-size:11pt;\"><span style=\"font-family:Arial, sans-serif;\">Strong analytical and problem-solving skills.</span></span></span></span></span></li>\n\t<li><span style=\"font-size:12pt;\"><span><span style=\"font-family:'Times New Roman', serif;\"><span style=\"font-size:11pt;\"><span style=\"font-family:Arial, sans-serif;\">Ability to function well in a high-paced and at times stressful environment.</span></span></span></span></span></li>\n</ul>\n\n<p> </p>\n\n<p> </p>\n\n<p><span style=\"font-size:12pt;\"><span style=\"font-family:'Times New Roman', serif;\"><b><span style=\"font-size:11pt;\"><span style=\"font-family:Arial, sans-serif;\">POSITION COMPETENCIES</span></span></b></span></span></p>\n\n<ul>\n\t<li style=\"margin-left:8px;\"><span style=\"font-size:11pt;\"><span style=\"line-height:normal;\"><span style=\"font-family:Calibri, sans-serif;\"><span style=\"font-family:Arial, sans-serif;\"><span style=\"color:#000000;\">Accountability</span></span></span></span></span></li>\n\t<li style=\"margin-left:8px;\"><span style=\"font-size:11pt;\"><span style=\"line-height:normal;\"><span style=\"font-family:Calibri, sans-serif;\"><span style=\"font-family:Arial, sans-serif;\"><span style=\"color:#000000;\">Communication</span></span></span></span></span></li>\n\t<li style=\"margin-left:8px;\"><span style=\"font-size:11pt;\"><span style=\"line-height:normal;\"><span style=\"font-family:Calibri, sans-serif;\"><span style=\"font-family:Arial, sans-serif;\"><span style=\"color:#000000;\">Customer Service Orientation</span></span></span></span></span></li>\n\t<li style=\"margin-left:8px;\"><span style=\"font-size:11pt;\"><span style=\"line-height:normal;\"><span style=\"font-family:Calibri, sans-serif;\"><span style=\"font-family:Arial, sans-serif;\"><span style=\"color:#000000;\">Functional/Technical Skills</span></span></span></span></span></li>\n\t<li style=\"margin-left:8px;\"><span style=\"font-size:11pt;\"><span style=\"line-height:normal;\"><span style=\"font-family:Calibri, sans-serif;\"><span style=\"font-family:Arial, sans-serif;\"><span style=\"color:#000000;\">Quality Focus</span></span></span></span></span></li>\n\t<li style=\"margin-left:8px;\"><span style=\"font-size:11pt;\"><span style=\"line-height:normal;\"><span style=\"font-family:Calibri, sans-serif;\"><span style=\"font-family:Arial, sans-serif;\"><span style=\"color:#000000;\">Time and Task Management</span></span></span></span></span></li>\n</ul>\n\n<p> </p>\n\n<p><span style=\"font-size:12pt;\"><span style=\"font-family:'Times New Roman', serif;\"><b><span style=\"font-size:11pt;\"><span style=\"font-family:Arial, sans-serif;\">PHYSICAL DEMANDS</span></span></b></span></span></p>\n\n<ul>\n\t<li style=\"margin-left:8px;\"><span style=\"font-size:11pt;\"><span style=\"line-height:107%;\"><span style=\"font-family:Calibri, sans-serif;\"><span style=\"font-family:Arial, sans-serif;\"><span style=\"color:#000000;\">This is standard desk role requiring extended periods of sitting and computer work.</span></span></span></span></span></li>\n</ul>\n\n<p style=\"margin-left:48px;\"> </p>\n\n<p style=\"text-indent:-0.5in;margin-left:48px;\"><span style=\"font-size:11pt;\"><span style=\"line-height:107%;\"><span style=\"font-family:Calibri, sans-serif;\"><b><span style=\"font-family:Arial, sans-serif;\">WORK ENVIRONMENT </span></b></span></span></span></p>\n\n<ul style=\"margin-bottom:11px;\">\n\t<li style=\"margin-bottom:11px;margin-left:8px;\"><span style=\"font-size:11pt;\"><span style=\"line-height:107%;\"><span style=\"font-family:Calibri, sans-serif;\"><span style=\"font-family:Arial, sans-serif;\">Remote</span></span></span></span></li>\n</ul>\n\n<p> </p>\n\n<p><span style=\"font-size:12pt;\"><span style=\"font-family:'Times New Roman', serif;\"><span style=\"font-size:10.5pt;\"><span style=\"font-family:Arial, sans-serif;\">Here at Allied, we believe that great talent can thrive from anywhere. Our remote friendly culture offers flexibility and the comfort of working from home, while also ensuring you are set up for success. To support a smooth and efficient remote work experience, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 100Mbps download/25Mbps upload. Reliable internet service is essential for staying connected and productive</span></span><span style=\"font-size:10.5pt;\"><span style=\"font-family:Calibri, sans-serif;\">.</span></span></span></span></p>\n\n<p><span style=\"font-size:12pt;\"><span style=\"font-family:'Times New Roman', serif;\"><span style=\"font-size:10.5pt;\"><span style=\"font-family:Arial, sans-serif;\">The company has reviewed this job description to ensure that essential functions and basic duties have been included. It is not intended to be construed as an exhaustive list of all functions, responsibilities, skills, and abilities. Additional functions and requirements may be assigned by supervisors as deemed appropriate.</span></span></span></span></p>\n\n<p><span style=\"font-size:12pt;\"><span style=\"font-family:'Times New Roman', serif;\"><span style=\"font-size:10.5pt;\"><span style=\"font-family:Arial, sans-serif;\">Compensation is not limited to base salary.  Allied values our Total Rewards, and offers a competitive Benefit Package including, but not limited to, Medical, Dental, Vision, Life and Disability Insurance, Generous Paid Time Off, Tuition Reimbursement, EAP, and a Technology Stipend.</span></span></span></span></p>\n\n<p><span style=\"font-size:12pt;\"><span style=\"font-family:'Times New Roman', serif;\"><span style=\"font-size:10.5pt;\"><span style=\"font-family:Arial, sans-serif;\">Allied reserves the right to amend, change, alter, and revise, pay ranges and benefits offerings at any time.  All applicants acknowledge that by applying to the position you understand that the specific pay range is contingent upon meeting the qualification and requirements of the role, and for the successful completion of the interview selection and process.  It is at the Company's discretion to determine what pay is provided to a candidate within the range associated with the role.</span></span></span></span></p>",
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