Member Advocate I

Member Advocate I

BC Forward is looking for Member Advocate I (HYBRID WORK) in Indianapolis, IN 46204

Position Title: Member Advocate I (HYBRID WORK)

Location: 550 N. Meridian Street, Suite 101, Indianapolis, IN 46204

Anticipated Start Date: 5/27

Expected Duration: 6 months

Job Type: Contract with possible extension

Shift: 8:00 am - 5:00 pm EST (base, can flex 7:00 am - 6:00 pm, with prior approval)

Pay Rate: $18.00/hr on W2.

Note: 1 week a month will be traveling to the office. May be more/less based on business needs.

Job Description:

Position Purpose: 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.

Complete administrative tasks in OMNI - Balance Billing, PCP Updates, Full/Hold Panel Requests, Disenrollments, fulfilling member requests for ID Cards, Member Handbooks, Provider Directories, monitor team email boxes and respond to requests. Assist members coming onsite to the Member Connect Walk-in Office.

Maintain a "Meets Expectation" rating every month - which requires efficiency in completing tasks within the allotted timeframe and be fully productive 75% of scheduled hours.

Maintain a "Meets Expectation" each month/quarter for Quality - which requires accuracy in completing tasks according to our quality audit metrics.

Settle in - computer equipment, email, etc.
Meet and Greet - with Manager, Supervisor and team
Review assigned training and upcoming virtual training classes
Review schedule/rotation for onsite work

Required Skills/Experience:
Attention to detail/accuracy
Problem Solving / customer service / Communication Skills - email, phone, in person
3+ years of customer service experience in a healthcare environment

Education/Experience: High school diploma or equivalent. 3+ years of customer service experience in a healthcare environment. Medicare and/or Medicaid experience preferred.

Software Skills Required: Outlook, Microsoft Office (Word, Excel) SharePoint, Intermediate Typing skills - 35-40 wpm

* 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.

Benefits:

BCforward offers all eligible employees a comprehensive benefits package including, but not limited to major medical, HSA, dental, vision, employer-provided group life, voluntary life insurance, short-term disability, long-term disability, and 401k.

About BCforward:

Founded in 1998 on the idea that industry leaders needed a professional service, and workforce management expert, to fuel the development and execution of core business and technology strategies, BCforward is a Black-owned firm providing unique solutions supporting value capture and digital product delivery needs for organizations around the world. Headquartered in Indianapolis, IN with an Offshore Development Center in Hyderabad, India, BCforward's 6,000 consultants support more than 225 clients globally.

BCforward champions the power of human potential to help companies transform, accelerate, and scale. Guided by our core values of People-Centric, Optimism, Excellence, Diversity, and Accountability, our professionals have helped our clients achieve their strategic goals for more than 25 years. Our strong culture and clear values have enabled BCforward to become a market leader and best in class place to work.

BCforward is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, or protected veteran status and will not be discriminated against based on disability.

To learn more about how BCforward collects and uses personal information as part of the recruiting process, view our Privacy Notice and CCPA Addendum. As part of the recruitment process, we may ask for you to disclose and provide us with various categories of personal information, including identifiers, professional information, commercial information, education information, and other related information. BCforward will only use this information to complete the recruitment process.

This posting is not an offer of employment. All applicants applying for positions in the United States must be legally authorized to work in the United States. The submission of intentionally false or fraudulent information in response to this posting may render the applicant ineligible for the position. Any subsequent offer of employment will be considered employment at-will regardless of the anticipated assignment duration.

Interested candidates please send resume in Word format Please reference job code 222048 when responding to this ad.

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