Customer Service Advocate I

3 weeks ago


Houston, United States Harris Health System Full time

Community Health Choice, Inc. (Community) is a non-profit managed care organization (MCO), licensed by the Texas Department of Insurance. Through its network of more than 10,000 providers and 94 hospitals, Community serves over 400,000 Members with the following programs:

- Medicaid State of Texas Access Reform (STAR) program for low-income children and pregnant women
- Children’s Health Insurance Program (CHIP) for the children of low-income parents, which includes CHIP Perinatal benefits for unborn children of pregnant women who do not qualify for Medicaid STAR
- Health Insurance Marketplace Plans that offer individual health coverage that includes preventive care, emergency services, prescription drugs, and hospitalization available to all, regardless of pre-existing conditions.
- Community Health Choice (HMO D-SNP), a Medicare Advantage Dual Special Needs plan for people with both Medicare and Medicaid that combines Medicare Part A and Part B benefits, Medicare Part D prescription drug coverage, and Medicaid benefits with additional health benefits like dental, vision, transportation, and more.

Improving Members' experiences is at the heart of every Community position. We strive every day to make sure that our Members have access to the high-quality health care they need and deserve.

Community is accredited by URAC for its health plan operations. We offer care management programs for asthma, diabetes, and high-risk pregnancy. An affiliate of the Harris Health System (Harris Health), Community is financially self-sufficient and receives no financial support from Harris Health or from Harris County taxpayers.

**Skills / Requirements**:
**JOB SUMMARY**: Responsible for accomplishing their primary goal of providing support and rendering Excellent Customer Service by addressing all Health Plan Member¿s calls related to inquiries, questions and concerns in all areas including enrollment, benefit interpretation and eligibility for medical care. Serving assistance to one/maximum two Lines of Business. Maintains confidentiality per HIPAA guidelines..

JOB SPECIFICATIONS AND CORE COMPETENCIES
- Essential Functions_
- 40% Call Handling: Answer and document Member¿s calls related to inquiries, questions and concerns in all areas including eligibility and status of claims and authorizations. Specifically, have the knowledge and acumen to accurately and concisely provide responses with the primary goal being that Excellent Customer Service is rendered in every connection with our Members.
- 40% Customer Service: Offer Excellent Customer Service through daily phone interaction with Members which is captured during Quality Monitoring.
- 15% Maintains a professional behavior and exhibit excellent interpersonal skills.
- Marginal Functions_
- 5% Other Duties as assigned

Reports to Position Title: Customer Svc Center Supervisor
Employees Supervised Titles: N/A

**MINIMUM QUALIFICATIONS**:

- Education/Specialized Training/Licensure: High School Diploma or GED equivalent
- Work Experience (Years and Area): 1-year Customer Service and/or Health Care / Plan experience in a call center or in a face to face setting.
- Software Proficiencies: Microsoft Office (Word, Excel, Outlook)

**Job Family/Job Title Competencies**
- Analytical Thinking
- Attention to Detail
- Responding Sensitively

List any additional competencies not indicated above:

- Bilingual (Spanish/Vietnamese) Preferred
- Writing /Composing



  • Houston, United States Community Health Choice Full time

    **Customer Service Advocate I - Community Health Choice** **Job Description** Community Health Choice, Inc. (Community) is a non-profit managed care organization (MCO), licensed by the Texas Department of Insurance. Through its network of more than 10,000 providers and 94 hospitals, Community serves over 400,000 Members with the following programs: Medicaid...


  • Houston, United States Harris Health System Full time

    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 verifi Customer Service, Advocate, Service, Retail, Healthcare, Customer


  • Houston, United States Mazak Corporation Full time

    Mazak Corporation is looking for a Customer Service Advocate to join the North Central Region at our National Technology. This position is responsible for improving the customer service experience by acting as a liaison between the service team and customers along with supporting the service team internally through the following responsibilities...


  • Houston, United States Harris Health System Full time

    Community Health Choice, Inc. (Community) is a non-profit managed care organization (MCO), licensed by the Texas Department of Insurance. Through its network of more than 10,000 providers and 94 hospitals, Community serves over 400,000 Members with the following programs: - Medicaid State of Texas Access Reform (STAR) program for low-income children and...


  • Houston, United States CVS Pharmacy Full time

    The Health Survey Specialist plays a critical role within the DSNP team. The Health Survey Specialist outreaches DSNP members via phone to introduce the DSNP services and complete the Health Risk Assessment (HRA). The HRA is the first step in creatin Advocate, Customer Service, Senior, Mental Health, Service, Retail

  • Patient Advocate

    3 weeks ago


    Houston, United States Premier Medical Resources Full time

    Job DescriptionJob DescriptionPremier Medical Resources is a healthcare management company headquartered in Houston, Texas. At Premier Medical Resources, our goal is to leverage and combine the expertise and skillset of our employees to drive quality in all we do. Our goal is to create career pathways for our employees just starting their professional...


  • Houston, United States CB&I Full time

    Company Overview CB&I® is the world's leading designer and builder of storage facilities, tanks and terminals. With more than 60,000 structures completed throughout our 130-year history, we have the global expertise and strategically-located operations to provide customers world-class storage solutions for even the most complex energy infrastructure...


  • Houston, United States Coastal Solutions Full time

    Job DescriptionJob DescriptionJoin Our Dynamic and Energetic Customer Service Team!About Us:We are a rapidly growing company seeking enthusiastic and driven individuals to join our vibrant Customer Service team. As part of our exceptional team of young professionals, you will have the opportunity to grow professionally while enjoying financial rewards and...

  • Customer Service 1

    1 week ago


    Houston, United States Pilot Freight Service Full time

    ** Customer Service 1** **Job Category****:** Stations-Central **Requisition Number****:** CUSTO03913 Showing 1 location **Job Details** **Description** Pilot Freight Services is seeking a full time **Customer Service 1 Representative** to work in our **Houston, TX Station,** located in **Humble, TX.** The hours for this position are **Monday through Friday....


  • Houston, United States CB&I Full time

    Company Overview: CB&I is the world's leading designer and builder of storage facilities, tanks and terminals. With more than 60,000 structures completed throughout our 130-year history, we have the global expertise and strategically-located operations to provide customers world-class storage solutions for even the most complex energy infrastructure...

  • Customer Service

    2 weeks ago


    Houston, Texas, United States Docjuris Full time

    DocJuris is looking for an experienced Customer Service Associate DocJuris is an AI platform that delivers joy to legal, procurement, and sales teams by cutting contract cycle times and increasing consistency.We provide all our team members with a flexible remote-first work environment while being part of a diverse and empathetic team.If you're excited about...


  • Houston, United States Samra Organization Full time

    Job DescriptionJob DescriptionAre you a customer-oriented individual with a passion for sales and a desire to work from the comfort of your own home? We're seeking a dynamic Customer Service and Sales Support Representative to join our team and help us deliver outstanding service while driving sales and revenue growth. If you're a motivated...


  • Houston, United States DocJuris Full time

    DocJuris is looking for an experienced Customer Service Associate! DocJuris is an AI platform that delivers joy to legal, procurement, and sales teams by cutting contract cycle times and increasing consistency. We provide all our team members with a flexible remote-first work environment while being part of a diverse and empathetic team. If you're excited...


  • Houston, United States Supreme Partnership Inc Full time

    Job DescriptionJob DescriptionBenefits:Company partiesCompetitive salaryHealth insuranceOpportunity for advancementSigning bonusTraining & developmentJob Summary:We are seeking a Customer Service Assistant to support our client relations team in delivering exceptional service and maintaining strong client relationships. The ideal candidate is a highly...


  • Houston, United States Jones Road Tree Service Full time

    Work Schedule: - Monday - 8am - 5pm (8 hours) - Wednesday - 7:30am - 11:30am (4 hours) - Friday - 8am-5pm (8 hours) Key Responsibilities: - Answer and manage incoming calls and respond to customer inquiries in a friendly and professional manner. - Schedule appointments and maintain an organized appointment calendar. - Assist with the preparation of...


  • Houston, United States Supreme Partnership Inc Full time

    Job DescriptionJob DescriptionJob Summary:We are seeking a Customer Service Assistant to support our client relations team in delivering exceptional service and maintaining strong client relationships. The ideal candidate is a highly organized, detail-oriented individual with excellent communication skills and a client-centric approach. In this role, you...

  • Patient Advocate

    4 days ago


    Houston, United States Premier Medical Resources Full time

    Premier Medical Resources is a healthcare management company headquartered in Houston, Texas. At Premier Medical Resources, our goal is to leverage and combine the expertise and skillset of our employees to drive quality in all we do. Our goal is to create career pathways for our employees just starting their professional career, and to those who seek to...


  • Houston, United States I-care Full time

    POSITION PURPOSE The Sales Representative will be responsible for but are not limited to, lead generation activities through company tools and software, strong understanding of company’s sales process, building relationships, negotiate and close sales, meet company sales goals, etc. ESSENTIAL FUNCTIONS AND BASIC DUTIES (and not limited to) ...


  • Houston, Texas, United States CB&I Full time

    Company Overview: CB&I® is the world's leading designer and builder of storage facilities, tanks and terminals. With more than 60,000 structures completed throughout our 130-year history, we have the global expertise and strategically-located operations to provide customers world-class storage solutions for even the most complex energy infrastructure...


  • Houston, United States University of Houston Full time

    Summary Provides integrated career counseling, academic advising and educational counseling for undeclared and other targeted Medical Students served by our Student Affairs, Admissions, & Outreach department. Develop strategic plans to enhance student learning and empower students to successfully meet degree requirements and persist to graduation. Job Duties...