Member Care Advocate (MCA) - November Cohort (Healthcare)

Location: Remote. New hires must complete a paid 3-week training period from 10 a.m. to 7 p.m. EST, Monday through Friday, with no planned time off. The role requires a secure, distraction-free home office and reliable internet.

Company

hirify.global combines virtual and in-person care, expert navigation, member support, and technology to help people access appropriate healthcare.

What you will do

• Answer inbound calls and chats in a respectful, empathetic, and clear manner.
• Explain healthcare benefits, deductibles, copays, coinsurance, out-of-pocket maximums, and eligibility details.
• Find in-network providers, update member accounts, and provide status updates on existing requests.
• Guide members through enrollment and scheduling for available programs such as virtual care.
• Resolve defined issues end-to-end using workflows and scripts while documenting interactions and follow-up actions.
• Use internal systems, knowledge bases, carrier portals, VoIP tools, and CRM software to research and resolve member questions.

Requirements

• Bachelor's degree plus at least two years of customer service or healthcare experience, or five years of relevant healthcare or benefits-navigation experience.
• Experience handling a high volume of inbound calls using VoIP phone systems such as CXone.
• Strong verbal and written communication skills in English, including the ability to explain benefits and document interactions clearly.
• Customer service, de-escalation, critical-thinking, and information-gathering skills.
• Familiarity with Google Workspace, Apple products, and CRM software, with the ability to learn proprietary tools quickly.
• Ability to follow HIPAA guidelines, maintain member confidentiality, complete the mandatory training schedule without planned time off, and work from a secure home office.

Culture & Benefits

• Remote work with a secure, distraction-free home-office requirement.
• Paid three-week training program before transition to the regular schedule.
• Work focused on empathetic, member-centered healthcare support.
• Performance expectations include quality audit results and member satisfaction.