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Member Advocate I (168760)
Member Advocate I (168760)Professional Management Enterprises • Indianapolis, IN, United States
Member Advocate I (168760)

Member Advocate I (168760)

Professional Management Enterprises • Indianapolis, IN, United States
6 hours ago
Job type
  • Full-time
Job description

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 :

  • 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.
  • 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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