What are the responsibilities and job description for the Member Advocate position at Integrity Health Products?
About Us:
Partnership Health Center (PHC) is an outpatient healthcare facility for employees and dependents covered under employer health plans. PHC offers a wide range of services, including primary and preventive care, behavioral health, physical therapy, pharmacy, and more.
Position Summary:
We are seeking a self-disciplined, energetic, and compassionate full-time Member Advocate to join our on-site team. As a key part of the Partnership Health Center, you will help members, and their dependents navigate the complexities of the healthcare system with clarity, care, and expert support.
Member Advocate Job Functions, including but not limited to:
· Assist members with questions regarding benefits, network access, prior authorizations, and claim processing
· Manage certain insurance carrier communications for members
· Build and maintain relationships with client's administrative personnel to ensure client satisfaction, including but not limited to assisting with administration of wellness programs, health fairs, and health center promotional efforts
· Provide administrative support to clinical staff as directed, including provider credentialing processes and vaccinations programs.
Qualifications
· Highly organized with strong verbal and written communication skills
· Demonstrated ability to work independently and as part of a team
· Strong decision-making, critical thinking, and problem-solving skills
· Comfortable engaging with diverse patient populations and interdisciplinary teams
· Ability to work with programs such as Microsoft Office
· Strong interpersonal skills
· Understanding of health insurance benefits and claims processing
· Experience in health insurance administration and claims processing
Education
· Bachelors degree
· Educational background in Nursing, Public Health, Behavioral Science, etc. (preferred)