Member Advocate

Allied Benefit Systems

. Respond to inbound member inquiries via telephone and email regarding provider access, plan benefits, claims, and balance billing concerns .

Posted 9/23/2026full-timeRemote • Illinois • United StatesJunior💰 $20 - $22 per hourWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates strong customer service skills and the ability to effectively communicate with members, providers, and internal teams. Proficient in managing provider access issues and balance billing concerns while meeting performance metrics.

Highest-signal resume keywords

Customer Service ExperienceProvider Access CoordinationBalance Billing ResolutionVerbal And Written Communication SkillsMicrosoft Office Suite Proficiency

ATS Keywords

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Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills

Customer ServiceBalance Billing ResolutionProvider Access DocumentationAnalytical SkillsProblem Solving

Soft Skills

Interpersonal SkillsTime ManagementAbility To Work Under Pressure

Tools & Technologies

Microsoft Office SuiteInternet Connection

Industry Keywords

Employee Health And Benefit Plan AdministrationHIPAA AuthorizationPlan DesignCoverage ToolsPerformance Metrics

About the role

Key responsibilities & impact

Respond to inbound member inquiries via telephone and email regarding provider access, plan benefits, claims, and balance billing concerns
Conduct outbound outreach to providers to confirm plan acceptance and gather required information
Support balance billing resolution and facilitate member access to care
Educate members, providers, employers, brokers, and internal partners on plan design, coverage, tools, and resources
Obtain, review, and document information related to provider access issues and balance billing concerns
Coordinate signed HIPAA authorizations when required
Serve as a liaison between members, providers, and internal teams
Document interactions, actions, and outcomes in applicable systems
Meet productivity, quality, and customer service performance metrics
Collaborate with Client Service team members and leadership on projects, ad hoc reporting, and process support
Escalate complex access or resolution issues to leadership
Perform other duties as assigned

Requirements

What you’ll need

High school diploma or equivalent required
1 to 2 years of customer service experience required
1 to 2 years’ experience in employee health and benefit plan administration preferred
Excellent verbal and written communication skills
Excellent interpersonal and customer service skills
Proficient with Microsoft Office Suite or related software
Excellent time management skills with a proven ability to meet deadlines
Strong analytical and problem solving skills
Ability to function well in a high paced and at times stressful environment
Internet connection through a cable broadband or fiber optic internet service provider
Minimum internet speeds of 100Mbps download/25Mbps upload

Benefits

Comp & perks

Medical insurance
Dental insurance
Vision insurance
Life insurance
Disability insurance
Generous paid time off
Tuition reimbursement
Employee Assistance Program (EAP)
Technology stipend
Fully remote work
Flexible work-from-home arrangement