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Under the general direction of the Unit Manager or Unit Supervisor, the Clinical Service Member Advocate is responsible for completing outreach activities for the member engagement into various programs as well as performing additional program, unit, and interdepartmental support functions. The Member Advocate is responsible for coordinating administrative or simple clinical functions within a program or line of business which may include, but are not limited to: performing Welcome Calls/describing routine benefits, completing Health Risk Screeners or Assessments telephonically (or data entering those returned by mail), assisting members with transportation and entering relevant claims, navigating low risk members to resolve benefit/access to care issues or to improve health and wellness outcomes, scheduling/participating in care team meetings and completing meeting agendas and minutes, generating clinical analytic documents and reports as directed and sending reviews to appropriate programs, requesting/receiving/filing/data entering clinical information such as labs and visit notes as directed, conducting mailings, and assisting with phone coverage for the unit or a nurse.
Required:
Desired:
Responsibilities:
Full Time
$35k-42k (estimate)
04/27/2023
05/01/2024
The job skills required for Member Advocate include Initiative, Time Management, etc. Having related job skills and expertise will give you an advantage when applying to be a Member Advocate. 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. Select any job title you are interested in and start to search job requirements.
The following is the career advancement route for Member Advocate positions, which can be used as a reference in future career path planning. As a Member Advocate, 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. You can explore the career advancement for a Member Advocate 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.