Member Advocate I - 210113

TEKsystems • Austin, TX

11d • $17 - $17 • Remote

About The Position

Position Purpose: Act as an advocate for the Member and a liaison between the Health Plan and Providers 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.

Requirements

• High school diploma or equivalent.
• 3 years of customer service experience in a healthcare environment.

Nice To Haves

• Medicare and/or Medicaid experience preferred.

Responsibilities

• 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.
• Assist members locating, pcp, specialist, and community resources.
• Assist with daily assignments such as pcp changes, id cards, electronic mai
• The member advocate outreaches members and providers daily.

Benefits

• Medical, dental & vision
• Critical Illness, Accident, and Hospital
• 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available
• Life Insurance (Voluntary Life & AD&D for the employee and dependents)
• Short and long-term disability
• Health Spending Account (HSA)
• Transportation benefits
• Employee Assistance Program
• Time Off/Leave (PTO, Vacation or Sick Leave)

What This Job Offers

• Career Level: Entry Level
• Education Level: High school or GED