Member Care Advocate (Healthcare)

TL;DR

Member Care Advocate (Healthcare): Providing high-quality, empathetic support to members navigating healthcare benefits and care options with an accent on benefits explanation and member advocacy. Focus on resolving complex member issues end-to-end, optimizing user experience within a high-volume environment, and ensuring HIPAA compliance.

Location: Remote. Must be able to adhere to 10 a.m. - 7 p.m. EST schedule during the 3-week training period.

Company

hirify.global simplifies healthcare by combining virtual and in-person care with expert navigation and comprehensive support to raise the standard of care for everyone.

What you will do

• Handle inbound calls and chats with empathy to guide members through healthcare benefits.
• Explain coverage, cost-sharing concepts (deductibles, copays, coinsurance), and eligibility details.
• Identify and confirm in-network providers and assist members with virtual care enrollment.
• Resolve member issues end-to-end using established workflows and internal CRM tools.
• Document interactions accurately to ensure continuity of care across the team.
• Meet and exceed quality audit standards and member satisfaction (MSAT) targets.

Requirements

• Bachelor's degree with 2+ years of customer service/healthcare experience OR 5+ years of relevant experience in healthcare/benefits navigation.
• Ability to work from a secure, distraction-free home office with reliable internet.
• Proficiency with VoIP systems (e.g., CXOne), Google Workspace, and CRM software.
• Strong verbal and written English communication skills for professional member interactions.
• Knowledge of HIPAA guidelines and commitment to maintaining member confidentiality.
• Availability to complete a 3-week paid training (10 a.m. - 7 p.m. EST) with no planned time off permitted.

Culture & Benefits

• Mission-driven environment focused on reducing friction in the healthcare system.
• Paid training period to ensure new hires are fully equipped for the role.
• Remote-first work arrangement.
• Focus on high-quality, empathetic member-centered support.