1 Member Advocate (El Paso Health) Job in El Paso, TX
Sorry! This job is no longer available. Please explore similar jobs listed on the left.
University Medical Center of El Paso is Hiring a Member Advocate (El Paso Health) Near El Paso, TX
Job Summary
Serves as an advocate to assist and/or represent STAR, CHIP, and El Paso Health Advantage Dual SNP members in navigating through their covered services, including preventive services, rights and responsibilities, complaint and appeals processes and providing education and support in accessing available services. Assists the member in accessing non-covered services, such as those provided in other social service or community programs.
Skills
1. Computer and typing skills required.
2. Excellent verbal and written communication skills required.
3. Ability to follow written and oral instructions.
4. Ability to work reliably and independently.
5. Ability to work effectively as a member of a team.
6. Ability to seek out new methods and principles to improve service.
7. Strong Customer Service skills and orientation.
8. Bilingual English/Spanish highly preferred (written and verbal).
Work Experience
Three years of experience in the managed care industry, care coordination, health promotion/outreach, and/or social services experience required. Complaints and appeals resolution experience preferred. Member Advocate experience preferred.
Knowledgeable about STAR, CHIP, and Medicaid/Medicare covered services, value-added services, preventive services, Social Security application process, emergency services, service/case management, non-clinical questions about referrals, authorizations, scheduling appointments PCP information and the role of the PCP/MCO, WAF including the Lock-in Program, assisting SHCN Members, Behavioral Health Services, Nursing Facility Services, ANE, DME/Emergency Prescription (72-hour) process, and cost sharing information relating to premiums, co-pays or deductibles, as applicable.
License/Registration/Certification
Valid State driver’s license.
General Lines – life, accident, health and HMO license issued through the Texas Department of Insurance preferred
Education and Training
High school diploma or equivalent required. Bachelor degree in Business, Health Science, Marketing or related field preferred.
Job Summary
Full Time
$46k-62k (estimate)
05/24/2024
05/31/2024
umcelpaso.org
El Paso, TX
500 - 1,000
Related Companies
The job skills required for Member Advocate (El Paso Health) include Customer Service, Written Communication, etc. Having related job skills and expertise will give you an advantage when applying to be a Member Advocate (El Paso Health). 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 (El Paso Health). Select any job title you are interested in and start to search job requirements.
The following is the career advancement route for Member Advocate (El Paso Health) positions, which can be used as a reference in future career path planning. As a Member Advocate (El Paso Health), 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 (El Paso Health). You can explore the career advancement for a Member Advocate (El Paso Health) 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.
Similar Jobs
Popular Articles
