Medicare Member Care Champion

Horizon Health Corporation; McAllen (TX); On-site; USD 42,000 - 65,000; Full time

Benefits offered by this job

Loan Forgiveness Program

Generous PTO

Excellent Health Plans

401K with match

Student loan refinancing

Career development

Job summary

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.

The Care Advocate is a dedicated health care professional who compassionately and quickly advocates for our member’s care through

Qualifications

• High school Diploma or GED required. AA degree preferred.
• Basic understanding of medical and health care terms and processes preferred.
• Strong communication skills both written and verbal.
• Positive customer service skills including active listening, empathy and compassion when resolving member and provider questions, problems or complaints
• Resourceful, good problem solving abilities, attention to detail, and teamwork orientation.
• Technical proficiency as it relates to software navigation, web-based program organization, and a clear understanding of office program.
• Flexibility to meet the changing demands of the business.
• Ability to be present, complete any task assigned, consistently do the right thing, work together toward the business goals
• Appetite for growth, learning and working in a fast-paced, challenging environment.
• Ability to learn new lines of business, software, platforms and methods for processing member and provider service requests.

Responsibilities

• Educate members and providers about benefit plans.
• Schedule member appointments.
• Navigate and resolve bills.
• Arrange transportation for Medicare lines of business.

Skills

Strong communication

Active listening

Customer service

Problem solving

Flexibility

Software navigation

Teamwork

Growth mindset

Education

High school diploma or GED

AA degree preferred

Tools

Office software

Job description

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.

The Care Advocate is a dedicated health care professional who compassionately and quickly advocates for our member’s care through