Customer Care Advocate

Customer Care Advocate Reimbursement Specialist

The Customer Care Advocate Reimbursement Specialist is a vital role responsible for supporting insurance authorization requests, following up on insurance determinations, and collaborating with field sales teams and healthcare professionals to obtain necessary documentation. This role is essential for navigating complex insurance processes, overturning denials, and providing empathetic support to patients, especially those with neurological impairments.

Responsibilities:

• Support insurance authorization requests and conduct follow-up for insurance determinations.
• Collaborate with field sales teams and healthcare professionals to obtain necessary documentation.
• Navigate complex insurance processes and overturn denials to maximize insurance coverage for patients.
• Provide empathetic support to patients, including those with cognitive or speech impairments.
• Manage tasks, prioritize effectively, and ensure accuracy in documentation and process management.
• Adapt to evolving processes and changing business needs in a fast-paced, team-oriented environment.
• Meet or exceed sales quotas and objectives, leveraging technology and resources effectively.
• Build trust and effective partnerships with customers, field partners, and internal teams.

Essential Skills:

• Minimum 2 years of experience in medical authorization involving medical record review.
• Strong customer service and communication skills for interacting with patients, payers, and physician offices.
• Deep knowledge of insurance processes, including commercial payers, Medicaid, workers' compensation, referral authorizations, pre-service appeals, and denials.
• Experience with CRM systems, data analysis, insurance claim processing software, and Microsoft Office.
• Ability to manage tasks, prioritize, and ensure accuracy in documentation.
• Sales experience with a proven track record in meeting targets.
• Ability to communicate empathetically and patiently with individuals who may have cognitive or speech impairments.

Additional Skills & Qualifications:

• Bachelor's degree preferred or equivalent relevant experience.
• Medical coding certification is preferred but not required.
• Proficiency in medical terminology and ICD-10 coding.
• Experience in pharmaceutical, biotech, or medical device industries.
• Effective persuasion and negotiation skills.
• Professional persistence and commitment to training.

Work Environment:

The work environment is office-based in Valencia, CA, within a collaborative 'bullpen' setting. The team works closely together with active leadership presence, emphasizing teamwork, process improvement, and client satisfaction. The role offers standard office hours from Monday through Friday, 8-5 pm, with flexibility to meet business needs. The company culture values adaptability, a supportive atmosphere, and professional development. The dress code is typically business casual, as expected in office-based medical device companies.

Job Type & Location:

This is a Contract to Hire position based out of Valencia, California.

Pay and Benefits:

The pay range for this position is $27.50 - $27.50/hr. Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following:

• Medical, dental & vision
• Critical Illness, Accident, and Hospital
• 401(k) Retirement Plan Pre-tax and Roth post-tax contributions available
• Life Insurance (Voluntary Life & AD&D for the employee and dependents)
• Short and long-term disability
• Health Spending Account (HSA)
• Transportation benefits
• Employee Assistance Program
• Time Off/Leave (PTO, Vacation or Sick Leave)

Workplace Type:

This is a fully onsite position in Valencia, CA.

Application Deadline:

This position is anticipated to close on Oct 24, 2025.