Care Advocate

UHS•McAllen, TX

About The Position

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. The Care Advocate is a dedicated health care professional who compassionately and quickly advocates for our member’s care through educating members and providers of the benefit plans, scheduling member appointments, navigating bills, and arranging transportation for Medicare lines of business. Universal Health Services, Inc. (UHS) is one of the nation’s largest and most respected providers of hospital and healthcare services, recognized as one of the World’s Most Admired Companies by Fortune and listed in Forbes ranking of America’s Largest Public Companies. UHS operates 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.

Requirements

High school Diploma or GED required
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

Nice To Haves

AA degree preferred
Basic understanding of medical and health care terms and processes preferred

Responsibilities

Advocates for member’s care through educating members and providers of the benefit plans
Scheduling member appointments
Navigating bills
Arranging transportation for Medicare lines of business