Post Service Advocate

Description

The post service advocate is responsible for resolving healthcare benefit matters that arise after a medical service or treatment has occurred, primarily focusing on claims processing, billing disputes, and reference-based pricing cases. In this role, the individual will be responsible for processing appeals and ensuring they are submitted within the required timelines. Meeting these deadlines is critical, as missed appeal timelines can result in financial liability for the client.

• Research and identify available healthcare options for members using the care navigation platform
• Coordinate services such as imaging (MRI, CT, ultrasound), physical therapy, surgeries, and other medical services
• Communicate with healthcare providers via outbound calls, email, and fax to confirm availability, services, and requirements
• Review medical documentation and fax clinical notes or paperwork when required
• Work with out-of-network providers to pursue single case agreements when in‑network options are unavailable
• Navigating the back‑end processing of medical insurance claims to ensure they are handled timely and correctly
• Acting on behalf of members to negotiate and resolve balance billing issues or disputes from healthcare providers
• Communicating case details between health services, operations, stop‑loss insurance, and finance to protect the member from surprise costs.

• Customer service, healthcare industry, appeals

• Customer service, healthcare industry, appeals

• Knowledge of contracts and claims
• Strong understanding of the appeals process
• Excellent negotiation skills
• Strong attention to detail
• Ability to stay organized and manage multiple cases
• Strong follow-through and ability to meet deadlines
• Great customer services skills

Expert Level

This is a Contract position based out of Mesa, AZ.

The pay range for this position is $21.00 - $21.00/hr.

Individual compensation offered for this position within this range will depend on many factors, including qualifications, skills, relevant experience, job knowledge, geographic location, internal equity, and other pertinent job‑related factors.

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)

This is a fully onsite position in Mesa,AZ.

This position is anticipated to close on Sep 10, 2026.

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That's the power of true partnership. TEKsystems is an Allegis Group company.

The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity,…