Billing Advocate

Role Overview

Imagine360 is seeking a Billing Advocate to provide specialized case management, advocacy, and education, helping members navigate the balance bill defense process. This role involves collaborating closely with internal teams such as Client Services and the legal department, as well as external partners, to ensure members receive timely resolutions and a positive experience.

Key Responsibilities

• Manage a caseload of members using a high-touch advocacy approach focused on enhancing member engagement and experience.
• Employ critical thinking to assist members with balance billing concerns and questions, aiming for favorable outcomes.
• Confidently handle escalated member issues internally and externally, promptly facilitating resolutions and acting as the primary contact for inquiries.
• Coordinate communications among members, clients, medical providers, and legal representatives both in-house and externally.
• Build strong relationships with members and internal teams to foster trust and effective collaboration.
• Maintain detailed tracking of inquiry statuses and resolutions.
• Ensure all interactions and follow-ups are thoroughly documented throughout the process.
• Work alongside internal stakeholders to identify opportunities for service improvements and address systemic issues.
• Apply comprehensive knowledge of HIPAA regulations to protect member information.
• Perform additional duties assigned by management as needed.

Required Qualifications and Experience

• High School Diploma or GED minimum; Bachelor's Degree preferred.
• Experience providing client-centered solutions tailored to customer needs.
• Prior exposure to billing, insurance, healthcare, or legal sectors is advantageous.

Skills and Competencies

• Proficiency with Microsoft Outlook, Word, Excel, and internet browsing.
• Ability to multitask effectively and thrive in a dynamic, entrepreneurial environment.
• Strong written and verbal communication abilities.

Benefits Provided by Imagine360

• Multiple health insurance plans to choose from.
• Company-paid premiums for disability and life insurance.
• Parental leave policy support.
• Starting with 20 days of paid time off plus 10 paid holidays annually.
• Tuition reimbursement program.
• 401(k) plan with company contributions.
• Opportunities for professional growth and continuous learning.
• Engagement in diversity and inclusion initiatives.

Additional Information

Imagine360 is an equal opportunity employer committed to inclusive hiring practices that do not discriminate based on race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or veteran status.

Note to Recruitment Agencies: Applications will only be accepted from recruitment agencies that have been formally invited to participate in the hiring process. Unsolicited candidate resumes submitted without prior permission or sent directly to hiring managers will not be considered and will not incur any placement fee obligations.

About Imagine360

Imagine360 offers health plan solutions backed by over five decades of expertise in self-funded healthcare. The company has helped thousands of employers save billions by providing innovative, customizable, member-focused health plan options that address the limitations of traditional PPO insurance models.