Service Coordination Advocate

2 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**
The Service Coordination Advocate at Community Health Choice is detail-oriented and proactive having a vital role in supporting the coordination of healthcare services for our STAR+PLUS members. This position provides administrative support to the Service Coordinator in managing service requests, scheduling, and rescheduling appointments, completing Health Risk Assessments, and ensuring the smooth operation of service delivery.

The Service Coordination Advocate collaborates with various internal departments, healthcare providers, and external stakeholders to ensure seamless service delivery and member satisfaction.

**JOB SPECIFICATIONS AND CORE COMPETENCIES**

Inbound Call Support:

- Respond effectively and timely to inbound calls from STAR+PLUS members and providers regarding scheduling and rescheduling assessments, answering benefits and eligibility questions, claims processing status, and authorization status.
- Conduct motivational interviewing when gathering supporting information from members or Legally Authorized Representatives (LAR) to ensure smooth operation of service delivery.

Care Management System and Data Entry:

- Maintain a working knowledge of the STAR+PLUS program, care management system (OICS), claim systems, and accurately enter required information into the designated Customer Relationship Management system (CRM) and the OICS system, adhering to departmental and organizational policies and procedures.

Collaborative Work with Internal Departments:

- Work collaboratively with coworkers and internal departments (Medical Affairs, Member Services, Provider Services, Claims, and other internal groups) to deliver member/provider services that meet or exceed expectations.
- Other duties as assigned.

**QUALIFICATIONS**:

- Education/Specialized Training/Licensure: High school diploma or equivalent required
- Experience with the STAR+PLUS population, waivers, IDD programs, and Community First Choice (CFC) preferred.
- Work Experience (Years and Area): Three (3) years of health care/plan experience, including call center experience and knowledge of pharmacy benefits, claims, and authorization status.
- Proven experience in administrative roles, preferably in the healthcare or insurance industry.

  • Customer Service Advocate

    3 days ago

    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...

  • Senior Service Advocate

    1 day ago

    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

  • Customer Service Advocate II

    3 weeks ago

    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

  • Manager, Svcs Coord Advocate

    1 week ago

    Houston, Texas, United States Harris Health System Full time

    JOB SUMMARY The Manager, Service Coordination Advocate at Community Health Choice is a highly motivated and experienced manager with contact center experience. This role oversees the STAR+PLUS program and leads a team of Service Coordination Advocates. The Manager plays a pivotal role in coordinating the administrative functions of the care management...

  • Customer Service Advocate Ii

    4 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...

  • Recovery Advocate

    4 weeks ago

    Houston, United States Positive Recovery Centers Full time

    **Positive Recovery** is the world’s first drug and alcohol treatment program that combines positive psychology with effective evidence-based approaches. The treatment plans we offer combine time-tested, tried, and true treatment approaches with innovative interventions that enhance well-being by cultivating its components: positive emotions, engagement,...

  • Customer Service Advocate I

    3 weeks ago

    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...

  • Service Coordinator

    5 days ago

    Houston, United States Mustang Cat Full time

    We are hiring a Service Coordinator to assist the Service Supervisor with day-to-day operations of the Machinery Service Shop. **Service Coordinator Benefits**: - Great Work-Life Balance - On-Premise Clinic - Tuition Reimbursement - Opportunity for overtime - Vast Growth Opportunities - Job Stability - Full-Time Benefits to Include: Medical, Dental,...

  • Patient Advocate

    5 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...

  • 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...

  • Service Coordinator

    3 weeks ago

    Houston, United States VDB Executive Search, LLC Full time

    We are looking for a Service Coordinator in Houston, TX for our client: a rapidly expanding Dutch-based company that leads the industry in supplying 3D CNC pipe cutting machines and robot profile cutting lines. Their innovative solutions empower their customers to revolutionize their steel pipe, beam, tube, and profile preparations, eliminating the need for...

  • Service Coordinator

    3 weeks ago

    Houston, United States VDB Executive Search, LLC Full time

    We are looking for a Service Coordinator in Houston, TX for our client: a rapidly expanding Dutch-based company that leads the industry in supplying 3D CNC pipe cutting machines and robot profile cutting lines. Their innovative solutions empower their customers to revolutionize their steel pipe, beam, tube, and profile preparations, eliminating the need for...

  • Service Coordinator

    3 days ago

    Houston, United States Rotork Full time

    Company DescriptionJob DescriptionReporting to the Service Supervisor, is responsible for the effective coordination of Service Technician scheduling and administration.In this role you will be responsible for understanding the needs of the client, preparing accurate and timely quotations, and coordinating the delivery of parts and services to meet the...

  • Service Coordinator

    7 days ago

    Houston, United States ABB Full time

    **Service Coordinator - Marine Service**: **Take your next career step at ABB with a global team that is energizing the transformation of society and industry to achieve a more productive, sustainable future. At ABB, we have the clear goal of driving diversity and inclusion across all dimensions: gender, LGBTQ+, abilities, ethnicity and generations....

  • Service Coordinator

    18 hours ago

    Houston, United States Rotork Full time

    Job DescriptionReporting to the Service Supervisor, is responsible for the effective coordination of Service Technician scheduling and administration.In this role you will be responsible for understanding the needs of the client, preparing accurate and timely quotations, and coordinating the delivery of parts and services to meet the client expectations. You...

  • Service Coordinator

    1 week ago

    Houston, United States Rotork Full time

    Job DescriptionReporting to the Service Supervisor, is responsible for the effective coordination of Service Technician scheduling and administration.In this role you will be responsible for understanding the needs of the client, preparing accurate and timely quotations, and coordinating the delivery of parts and services to meet the client expectations. You...

  • Intensive Case Manager, Home Study and Post Release Services

    1 week ago

    Houston, United States Church World Service Full time

    Overview Reports to:HSPRS SupervisorLocation/ Work Arrangement:Houston, TX- HybridSalary Minimum:$60,800 Salary Maximum:$76,000 About CWS Founded in 1946, Church World Service (CWS) is a non-profit and faith-based global humanitarian organization that provides sustainable self-help, development, disaster relief, and refugee and immigrant assistance around...

  • Patient Service Coordinator

    3 weeks ago

    Houston, United States Team1Medical Full time

    Job DescriptionJob DescriptionPatient Service CoordinatorZip Code: Houston, TX 77040 | Location: Northwest HoustonEmployment Type: Temporary | Workplace Type: On-siteHealthcare Specialty: Billing Services | Salary: $16 - $19 an hourTeam1Medical is seeking a Patient Service Coordinator to join their Northwest Houston team and will be responsible for...

  • Resident Services Coordinator

    7 days ago

    Houston, United States Atlantic | Pacific Companies Full time

    Our Company is seeking: An experienced and highly motivated Apartment **Resident Service Coordinator** for 2 of our **Affordable Communities Residence at Arbor Oaks and Arbor at Wayforest **in **Houston, TX.** **Schedule: Mon-Fri 8:30am-5:30pm** **Job Type-Full-Time** **Job Description Summary** The Resident Services Coordinator (RSC) will focus on...

  • Customer Service Advocate I

    10 hours 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...