Care Advocate Lead

Prominence-Health-Plan; McAllen (TX); On-site; USD 33,000 - 52,000; Full time

Job summary

Prominence Health in McAllen, TX seeks a dedicated member services advocate who compassionately guides patients through benefits, appointments, and billing. You will liaise with providers, explain coverage, and help members navigate care with empathy and efficiency.

Join a team committed to value-based care and accessible service, assisting patients and families with scheduling, transportation needs, and questions while upholding quality, compliance, and respectful communication.

Qualifications

• Basic understanding of medical and health care terms and processes.
• Strong customer service foundation with empathy and active listening.
• Ability to navigate software and office programs with attention to detail.

Responsibilities

• Advocate for member care and explain benefits.
• Schedule appointments and coordinate care for members.
• Navigate bills and answer billing questions for members.
• Arrange rides and transportation when needed for members.
• Provide timely, accurate information with empathy and professionalism.

Skills

Customer service

Empathy

Active listening

Teamwork

Communication skills

Education

High school diploma

Associates degree or higher

Tools

Software navigation

Web-based program organization

Office programs

Job description

Responsibilities

Prominence Health is a value-based care organization bridging the gap between affiliated health systems and independent providers, building trust and collaboration between the two. Prominence Health creates value for populations and providers to strengthen integrated partnership, advance market opportunities, and improve outcomes for our patients and members. Founded in 1993, Prominence Health started as a health maintenance organization (HMO) and was acquired by a subsidiary of Universal Health Services, Inc. (UHS) in 2014. Prominence Health serves members, physicians, and health systems across Medicare, Medicare Advantage, Accountable Care Organizations, and commercial payer partnerships. Prominence Health is committed to transforming healthcare delivery by improving health outcomes while controlling costs and enhancing the patient experience.

Learn more at: https://prominence-health.com/

Job Summary: A dedicated team of health care professionals who compassionately and quickly advocate for our member’s care. We go the extra mile, provide an understanding of benefits, schedule the appointment, navigate bills, and arrange the ride.

About Universal Health Services:

One of the nation’s largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. During the year, UHS was again recognized as one of the World’s Most Admired Companies by Fortune; and listed in Forbes ranking of America’s Largest Public Companies. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located all over the U.S. States, Washington, D.C., Puerto Rico and the United Kingdom. www.uhs.com

Qualifications

Qualifications and Requirements:

• Minimum High school Diploma with a preference of associates degree or higher.
• A basic understanding of medical and health care terms and processes is preferred.
• A strong foundation of customer service skills including empathy, active listening, resourcefulness in problem solving and teamwork.
• Technical proficiency as it relates to software navigation, attention to detail, web-based program organization, and a clear understanding of office program.
• A demonstrable organization methodology that drives performance and accountability.
• Strong communication skills both written and verbal.
• Flexibility to meet the changing demands of the business.
• Appetite for growth, learning and working in a fast-paced, challenging environment.
• An unwavering positivity and compassion for our members.

EEO Statement

All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.

We believe that diversity and inclusion among our teammates is critical to our success.