Job ID: CA362742617
Location: Houston, TX
Category: zzzMedical Financial Services
Employment Type: Contract
Date Added: 07/16/2025
Bilingual Customer Service Advocate II | $17 – 18/hour. | Monday – Friday 8am – 5pm | Long term Contract
What Matters Most
- Competitive Pay of $17 – 18.00 per hour
- Schedule: Monday – Friday 8am – 5pm with some potential Saturdays
- Location: Houston, Texas 77081
- Contract-to-possible hire opportunity with career growth and stability
- Weekly Pay with direct deposit or pay card
- When you work through The Reserves Network, you are eligible to enroll in dental, vision and medical insurance as well as 401K, direct deposit and our referral bonus program
Job Description
The Customer Service Advocate II is mainly responsible for handling incoming hotline inquiries related to benefits and eligibility verification, claim status (including identifying claims that may need reconsideration), authorization updates, and member complaints. The role also involves accurately documenting all interactions, performing timely follow-ups when necessary, and properly routing information electronically—all while ensuring compliance with HIPAA confidentiality standards.
Responsibilities:
- Respond to inbound calls, emails, or chat inquiries from members and applicants regarding healthcare plan enrollment, eligibility, claim status and benefit inquiries
- Provide accurate information regarding plan options, coverage, premiums, and required documentation
- Identify claims that may require reconsideration and take appropriate next steps, while documenting all calls and interactions in the system
- Maintain knowledge of current healthcare programs, policies, and procedures
- Collaborate with internal departments to resolve member concerns and ensure customer satisfaction
Qualifications and Requirements:
- Highschool Diploma or GED required
- 2 years of customer service experience, in healthcare, insurance, or a call center environment
- Experience in claims, authorization status, benefits, and eligibility
- Knowledge of healthcare enrollment processes (Medicaid, Medicare, Marketplace, or commercial insurance) preferred
- Proficient in using computers and navigating multiple systems (CRM, enrollment platforms, etc.)
Benefits and Perks:
- Competitive pay rate of $17 – 18/hour.
- Medical Benefits via contractor plan
- Training & growth opportunity
- Ability to work for a government entity
Your New Organization:
Our client is a local, non-profit managed care organization in Texas that provides affordable and comprehensive health insurance plans. They offer a variety of plans, including Texas Medicaid STAR, CHIP, and plans through the Health Insurance Marketplace, while focusing on improving the health and well-being of Texans by providing access to quality healthcare services and resources.
Your Career Partner:
The Reserves Network, a veteran-founded and family-owned company, specializes in connecting exceptional talent with rewarding opportunities. With extensive industry experience, we are dedicated to helping you achieve your professional goals and shine in your field. The Reserves Network values diversity and encourages applicants from all backgrounds to apply. As an equal-opportunity employer, we foster an environment of respect, integrity, and trust in every aspect of employment.
In the spirit of pay transparency, we want to share the base salary rate for this position is $18/hour, not including benefits, potential bonuses or additional compensation. If you are hired, your base salary will be determined based on factors such as individual skills, qualifications, experience, and geographic location. In addition, we also believe in the importance of pay equity and consider the internal equity of our current team members as a part of any final offer. Please keep in mind that the range mentioned above is the full base salary range for the role. Hiring at the maximum of the range would not be typical in order to allow for future & continued salary growth
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