Recent Searches

You haven't searched anything yet.

1 Member Advocate I - Now Hiring Job in Mirando, TX

SET JOB ALERT
Details...
Superior HealthPlan
Mirando, TX | Full Time
$31k-38k (estimate)
0 Months Ago
Member Advocate I - Now Hiring
$31k-38k (estimate)
Full Time | Insurance 0 Months Ago
Save

Superior HealthPlan is Hiring a Member Advocate I - Now Hiring Near Mirando, TX

You could be the one who changes everything for our 26 million members as a Customer Care professional at Centene. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility. 

Position Purpose: Act as an advocate for the Member and a liaison between the Health Plan and Provider(s) to ensure availability and access to care. Establish a community presence, promote Member education, identify and resolve any systemic barriers that limit Members access to appropriate care.• Receive and respond to Member complaints and formal grievances and identify potential access barriers and resolve as indicated in the grievance procedure.
• Investigate and resolve access and cultural sensitivity issues identified by Member Services staff, State staff, providers, advocacy organizations and recipients.
• Participate in local community organizations to acquire knowledge and insight regarding the special health care needs of Members and update and revise educational materials as appropriate.
• Serve as primary contact for Member advocacy groups, human services agencies and the State entities.
• Maintain confidentiality per HIPAA guidelines.Education/Experience: High school diploma or equivalent. 3 years of customer service experience in a healthcare environment. Medicare and/or Medicaid experience preferred.
For Superior Health Plan - Bilingual in Spanish required.

Our Comprehensive Benefits Package: Flexible work solutions including remote options, hybrid work schedules and dress flexibility, Competitive pay, Paid time off including holidays, Health insurance coverage for you and your dependents, 401(k) and stock purchase plans, Tuition reimbursement and best-in-class training and development.

Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.

Job Summary

JOB TYPE

Full Time

INDUSTRY

Insurance

SALARY

$31k-38k (estimate)

POST DATE

05/24/2023

EXPIRATION DATE

05/22/2024

WEBSITE

superiorhealthplan.com

HEADQUARTERS

CLAYTON, MO

SIZE

500 - 1,000

FOUNDED

1999

CEO

DAVID M LAVELY

REVENUE

$10M - $50M

INDUSTRY

Insurance

Show more

Superior HealthPlan
Remote | Full Time
$62k-75k (estimate)
2 Months Ago
Superior HealthPlan
Remote | Full Time
$59k-73k (estimate)
2 Months Ago
Superior HealthPlan
Remote | Full Time
$99k-126k (estimate)
2 Months Ago

The job skills required for Member Advocate I - Now Hiring include Customer Service, Confidentiality, Health Care, Flexibility, etc. Having related job skills and expertise will give you an advantage when applying to be a Member Advocate I - Now Hiring. That makes you unique and can impact how much salary you can get paid. Below are job openings related to skills required by Member Advocate I - Now Hiring. Select any job title you are interested in and start to search job requirements.

For the skill of  Customer Service
Randalls
Full Time
$23k-27k (estimate)
1 Day Ago
For the skill of  Confidentiality
Crowne Plaza Dallas Downtown
Full Time
$28k-36k (estimate)
1 Day Ago
For the skill of  Health Care
Spectrum Healthcare Resources
Other
$127k-144k (estimate)
1 Day Ago
Show more

The following is the career advancement route for Member Advocate I - Now Hiring positions, which can be used as a reference in future career path planning. As a Member Advocate I - Now Hiring, it can be promoted into senior positions as a Managed Care Coordinator that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Member Advocate I - Now Hiring. You can explore the career advancement for a Member Advocate I - Now Hiring below and select your interested title to get hiring information.

If you are interested in becoming a Member Advocate, you need to understand the job requirements and the detailed related responsibilities. Of course, a good educational background and an applicable major will also help in job hunting. Below are some tips on how to become a Member Advocate for your reference.

Step 1: Understand the job description and responsibilities of an Accountant.

Quotes from people on Member Advocate job description and responsibilities

An advocate may be a shareholder/owner of business juridical persons and a member of voluntary associations and political parties.

03/21/2022: Altus, OK

Processes incoming calls, faxes and voicemails from claimants, providers, clients, attorneys, etc., resolving their claims related questions and issues in accordance with designed guidelines and policies.

02/24/2022: Albuquerque, NM

Completes outbound calls to claimants, providers, clients and attorneys regarding medical reports, bill requests, return to work, medical authorization forms, etc.

05/08/2022: New Bedford, MA

Communicates claims status and current claim activity; responds to inquiries about jurisdiction- and claim-specific issues.

03/28/2022: Hartford, CT

Inputs newly reported claims and updates to claims into system(s), ensures claim files are properly documented and coding is correct.

04/07/2022: Sioux City, IA

Step 2: Knowing the best tips for becoming an Accountant can help you explore the needs of the position and prepare for the job-related knowledge well ahead of time.

Career tips from people on Member Advocate jobs

High school diploma or GED required.

03/08/2022: Scranton, PA

Associate’s degree from an accredited college or university preferred.

05/02/2022: Troy, NY

Professional certification as applicable to line of business preferred.

03/08/2022: Fayetteville, AR

Must be flexible and adaptable in response to changing patient and provider needs

03/24/2022: Wichita, KS

Sales and retail-based employers look for advocates with sales skills to advise customers on available products or services, using selling techniques to promote specific offers.

03/08/2022: Honolulu, HI

Step 3: View the best colleges and universities for Member Advocate.

Butler University
Carroll College
Cooper Union
High Point University
Princeton University
Providence College
Show more