Town of Amherst, New York, United States · On-site
$17/hr–$27/hr
Job Title Aither Advocate Status Non Exempt Why this role is important: Navigating the healthcare system can be overwhelming for many individuals. Questions about coverage, costs, and care quality can leave members confu…
Skills: Active Listening, Customer Service, Problem Solving, Professional Communication, TPA Experience
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Act as a compassionate link between members and healthcare providers by guiding them through coverage, costs, and care quality. Responsibilities include handling provider inquiries regarding eligibility and benefits while helping members navigate their healthcare journey.
Requires a high school diploma or GED and 1-2 years of experience with self-funding or level-funding. Candidates must have previous Third Party Administrator (TPA) experience.
Job Title
Aither Advocate
Status
Non Exempt
Why this role is important:
Navigating the healthcare system can be overwhelming for many individuals. Questions about coverage, costs, and care quality can leave members confused and uncertain. Aither's Advocates are the crucial link between members and their healthcare, guiding them through these complexities with care and expertise.
Key Responsibilities:
Listen Actively: You’ll be the compassionate ear that listens attentively to our members, understanding their needs, concerns, and questions. Treat every interaction with the same care as if you were speaking with a close family member.
Support Provider Inquiries: Respond to incoming calls from healthcare providers assisting with questions related to eligibility, benefits, claim status, and plan information. Communicate professionally to ensure providers receive accurate information.
Assist with Clarity: Provide clear, thoughtful explanations to members, whether it’s about their benefits, scheduling appointments, or understanding healthcare costs. Your goal is to make the complex simple and provide helpful solutions.
Guide & Educate: Help members navigate their healthcare journey, from finding quality providers to managing their health expenses. Ensure members receive high-quality care while keeping their costs reasonable.
Collaborate with Team: When necessary, engage with other team members to resolve questions or issues during the call. Teamwork is essential to delivering excellent member experiences.
Continual Learning: Stay curious and engaged in learning. We’ll teach you how to battle healthcare costs, and in turn, you’ll help us discover new ways to assist our members.
Problem Solve & Innovate: Leverage your problem-solving skills to address members’ concerns and help us invent new methods to reduce healthcare costs.
What you’ll bring:
Education & Experience:
High school diploma or GED required
Must have 1-2 years of self-funding or level-funding experience
Must have TPA experience
Skills & Qualities:
Strong communication skills: You know how to explain things clearly, ensuring members understand their healthcare options and solutions.
Patience and resilience: You can stay calm and positive under pressure, even during difficult situations.
Tech-savvy: Comfortable working with PC, Windows, and common software applications.
Confidentiality: You understand the importance of keeping sensitive information private.
Attention to detail: You ensure that no task or issue falls through the cracks.
Team player: You’re willing to pitch in wherever needed and collaborate with your teammates to deliver top-notch service.
Drive for Excellence: You’re always looking for ways to improve processes, resolve issues creatively, and deliver high-quality work—every single time.
Compensation Range:
$17/hr-$27/hr
High school diploma or GED required
Must have 1-2 years of self-funding or level-funding experience
Must have TPA experience
Aither Health Benefits:
Health Coverage – Multiple medical, dental, and vision plan options to fit your needs.
PTO & SICK - Paid PTO and SICK time.
Life & Disability Insurance – Employer-paid life insurance plus optional supplemental coverage; short- and long-term disability included.
Retirement Savings – 401(k) plan with automatic enrollment, employer match, and Roth option.
Tax-Advantaged Accounts – Health Savings Account (HSA) for eligible plans, plus Flexible Spending Accounts (FSAs) for healthcare and dependent care.
Easy Enrollment – Core benefits begin the first of the month after 30 days; 401(k) kicks in after 60 days.
trust built through transparency
Aither Health is a healthcare solutions company offering a full suite of innovative products and services for third-party administrators and risk bearing entities such as self-funded employers, health plans and providers. We founded Aither to help disrupt this country’s disastrous healthcare market. We work to reduce health care cost trends by applying our unique service model, selecting appropriate transparent vendor partners and building collaborative health care service delivery models. We believe in putting the physicians back in charge of health care. With our help, physicians can emphasize and prioritize the intrinsic power of the relationship with a patient to improve health outcomes and lower overall health care costs. We’ve turned down investments from private equity firms in order to remain completely independent. Today, independence is extremely important. Often companies are unable to do the “right” thing if they are only motivated by the bottom line or are focused on positioning the company for an exit event. This “bottom line pressure” creates risk for other innovators in the market who may be utilizing the products and services as a private labeled solution. We’re building our Aither Army to help us positively disrupt within our sphere of influence. Innovative Innovative people disrupt whole industries with their ideas. That’s our goal. We know the key difference between creativity and innovation is execution. Everyday our Aither associates will innovate and execute on behalf of all our client partners. Transparent Industry transparency is coming but we can’t wait. From day one we are embracing the value of true transparency with our client partners. We want to build trust and solidify long-term mutually beneficial relationships. Independent Aither Health is privately owned without private equity backing. We don’t answer to anyone except our client partners. We’re not pressured to build the largest bottom line.
Offices: Buffalo, NY 14150, US
trust built through transparency
Aither Health is a healthcare solutions company offering a full suite of innovative products and services for third-party administrators and risk bearing entities such as self-funded employers, health plans and providers. We founded Aither to help disrupt this country’s disastrous healthcare market. We work to reduce health care cost trends by applying our unique service model, selecting appropriate transparent vendor partners and building collaborative health care service delivery models. We believe in putting the physicians back in charge of health care. With our help, physicians can emphasize and prioritize the intrinsic power of the relationship with a patient to improve health outcomes and lower overall health care costs. We’ve turned down investments from private equity firms in order to remain completely independent. Today, independence is extremely important. Often companies are unable to do the “right” thing if they are only motivated by the bottom line or are focused on positioning the company for an exit event. This “bottom line pressure” creates risk for other innovators in the market who may be utilizing the products and services as a private labeled solution. We’re building our Aither Army to help us positively disrupt within our sphere of influence. Innovative Innovative people disrupt whole industries with their ideas. That’s our goal. We know the key difference between creativity and innovation is execution. Everyday our Aither associates will innovate and execute on behalf of all our client partners. Transparent Industry transparency is coming but we can’t wait. From day one we are embracing the value of true transparency with our client partners. We want to build trust and solidify long-term mutually beneficial relationships. Independent Aither Health is privately owned without private equity backing. We don’t answer to anyone except our client partners. We’re not pressured to build the largest bottom line.
Offices: Buffalo, NY 14150, US
