Health Services Patient Advocate (Spanish Bilingual) 8:30-4:30 jobs in United States
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Building Service 32BJ Benefit Funds · 4 months ago

Health Services Patient Advocate (Spanish Bilingual) 8:30-4:30

Building Service 32BJ Benefit Funds is seeking a mission-driven Health Services Patient Advocate to join their team. This role is responsible for maintaining relationships with 5 Star Centers, supporting Health Fund Programs, and assisting members in choosing in-network providers while addressing their concerns and issues.

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Responsibilities

Develop relationships with management and administrative staff at assigned 5 Star Center, including site visits
Assist members in choosing providers and scheduling appointments at 5 Star Centers
Assist with issue resolution as problems arise for assigned 5 Star Centers from initial inquiry through completion
Log member issues into the department tracking system
Assist members and act as advocates during complaint process with providers
Identify any patterns of fund program issues with service provision and address accordingly or notify management
Address member concerns about Fund programs
Complete all program enrollment processes for eligible, interested members
Utilize Health Services Database to track interactions related to Fund programs
Work with members and the Providers to determine the correct copay and rectify all billing errors
Assist members to identify in-network specialists related to specific needs
Complete Targeted Outreach Projects
Reach out to members and dependents who meet specific criteria for upcoming Fund initiatives and or programs
Log interactions into funds tracking system
Receive incoming calls through the Health Services queue regarding Health Services Programs
Back up member services provider line queue upon request for provider search activity
Attend and participate in all team meetings

Qualification

Healthcare industry knowledgeMedical terminologyBilingual in SpanishMicrosoft OfficeClaims processingListening skillsOrganizational skillsCommunication skillsTeam playerCreative thinking

Required

Excellent organizational and prioritizing skills
Ability to work on simultaneous projects with diverse working groups
Ability to clearly communicate ideas and thoughts
Ability to work with minimal supervision and be an effective team player
Ability to effectively work in a fast-paced environment, handle multiple tasks and prioritize work
Excellent listening skills and ability to address member concerns
Ability to work well with physicians and other medical professionals
Ability to think creatively and implement solutions to meet member needs
The ability to read, write and understand English is essential
High School Diploma
Microsoft Office with emphasis on Word and Excel
Strong knowledge base of healthcare industry and medical terminology

Preferred

Bilingual in English/Spanish is preferred
Associates Degree or equivalent work experience in the healthcare industry preferred
Insurance/managed care and claims processing background a plus

Benefits

Comprehensive Health Package including medical, dental & vision coverage with no employee contribution to the premium for a family plan
Pension Benefit that includes monthly employer contributions
Retirement Benefit that includes 3% 401K employer contributions
Professional Coverage/Reimbursement includes Tuition Reimbursement Program
Paid Time Off including vacation, personal, and sick days
Federal Paid Holidays – Up to 11 days off with pay
Mission-driven, internal job growth opportunities

Company

Building Service 32BJ Benefit Funds

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The Building Service 32BJ Benefit Funds is the umbrella organization responsible for administering benefits, including Health, Pension, Retirement Savings, Training and Legal Services benefits to over 100,000 SEIU 32BJ members.

Funding

Current Stage
Late Stage

Leadership Team

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Anna McQuere
Assistant Director of Clinical Partnerships
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Sabrina Benteftifa
Clinical Partnerships Manager
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