Member Advocate I (168760)Professional Management Enterprises • Indianapolis, IN, United States
Member Advocate I (168760)
Professional Management Enterprises • Indianapolis, IN, United States
[job_card.variable_days_ago]
[job_preview.job_type]
- [job_card.full_time]
[job_card.job_description]Receive and respond to Member complaints and formal grievances and identify potential access barriers and resolve as indicated in the grievance procedure. Investigate and resolve access and cultural sensitivity issues identified by Member Services staff, State staff, providers, advocacy organizations and recipients. Participate in local community organizations to acquire knowledge and insight regarding the special health care needs of Members and update and revise educational materials as appropriate. Serve as primary contact for Member advocacy groups, human services agencies and the State entities. Maintain confidentiality per HIPAA guidelines.
Summary :
Act as an advocate for the Member and a liaison between the Health Plan and Provider(s) to ensure availability and access to care. Establish a community presence, promote Member education, identify and resolve any systemic barriers that limit Members access to appropriate care.This is a hybrid role. Four weeks of in-office training required, then would transition to being on rotation for working in office (one week, every five weeks).
Job Title : Member Advocate I
Location : 429 N. Pennsylvania St, Ste 109, Indianapolis, IN 46204
Hours : 8am - 5pm Mon-Fri
- Weekly Pay
Job Responsibilities :
Education / Experience :
High school diploma or equivalent. 3+ years of customer service experience in a healthcare environment. Medicare and / or Medicaid experience preferred.
Bilingual in Spanish preferred
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Member Advocate • Indianapolis, IN, United States
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