Behavioral Health Customer Service Advocate II - Community Health Choice
Harris Health System
Location: Houston, Texas
Type: Full Time
Internal Number: 161399
The Customer Service Advocate II is a position within the Community Health Choice Customer Service Center that is primarily responsible for, but not limited to responding to incoming hotline inquiries as they relate to benefits and eligibility verification, claim status (with the ability to identify if a claim requires reconsideration), authorization status, and complaints, accurate documentation recording of all calls; effective follow-up of calls, as required; and proper electronic routing with effective documentation skills while maintaining confidentiality per HIPAA guidelines.
*Bilingual Spanish strongly preferred*
MINIMUM QUALIFICATIONS: Education/Specialized Training/Licensure: High School diploma or GED.
Work Experience (Years and Area): 6 months of Managed Care or health care insurance experience to include Call Center, with claims knowledge. Cross-functionality in Claims, Benefits and Eligibility for at least two (2) lines of business.
Software Operated: Microsoft Office (Word, Excel, Outlook)
SPECIAL REQUIREMENTS: 1. Communication Skills: Above Average Verbal (Heavy Public Contact) Languages: Spanish strongly preferred Writing /Composing: Correspondence / Reports
2. Other Skills: Analytical, Mathematics, Medical Terminology, Research, MS Word , MS Excel
3. Work Schedule: Flexible, Overtime
4. Other Requirements: Ability to work independently under minimal direction. Moderate to advanced computer knowledge required.
The Harris Health System is a fully integrated healthcare system that cares for all residents of Harris County, Texas. We are the first accredited healthcare institution in Harris County to be designated by the National Committee for Quality Assurance as a Patient-Centered Medical Home, and are one of the largest systems in the country to achieve the quality standard. Our system includes 23 community health centers, five school-based clinics, a dental center and dialysis center, mobile health units, a rehabilitation and specialty hospital and two full-service hospitals.Ben Taub Hospital is a world renowned Level I Trauma Center with 586 licensed acute-care beds and provides a wide range of specialty care outpatient services. Lyndon B. Johnson Hospital is a 328 licensed bed acute-care hospital with a newly expanded Level III trauma center and a distinguished regional center for neonatal intensive care for high-risk deliveries.Harris Health is a teaching system for Baylor College of Medicine and The University of Texas Health Science Center at Houston (UTHealth). We train the next generation of healthcare providers on the latest medical procedures and technological breakthroughs.With... our fully integrated electronic medical records system, we offer patients the convenience and assurance that their medical history is accurate, safe and available when and where it is needed. Our Medical Home designation ensures that we offer a full range of preventive, specialty and acute care services for the entire family.