Medicare Financial Advocate Specialist

Now hiringMedicare Financial Advocate Specialist

Responsible for providing customer service for members to help facilitate financial security by assisting our members with eligibility to qualify for full or partial dual enrollment. Provide proactive member outreach and education about program benets advocating on behalf of interested and eligible members. From submitting forms to monitoring approvals to appealing denials the member is guided throughout the process from start to finish.

How you belong matters here.

We value our employees differences and find strength in the diversity of our team and community.

At Presbyterian its not just what we do that matters. Its how we do it and it starts with our incredible team. From Information Technology to Food Services and beyond our nonclinical employees make a meaningful impact on the healthcare provided to our patients and members.

• Why Join Us:
• Full Time Exempt: No
• Job is based Rev Hugh Cooper Admin Center
• Work hours: Days
• Benefits: We offer a wide range of benefits including medical wellness program vision dental paid time off retirement and more for FT employees.

Ideal Candidate: Managed care with possible enrollment experience

• High school diploma plus one to three years office/business experience; call center experience preferred and/or is currently demonstrating customer service skills meeting current department metric and attendance guidelines within department.

• Assist members with enrollment to help complete and submit necessary forms to the appropriate state agencies for Low Income eligibility and programs.
• Help ensure Medicaid status is retained through annual engagement with all dual enrolled members that guides them through the recertification process.
• Monitor Medicaid status to ensure help advise members regarding redetermination dates and eligibility changes.
• Make outbound calls and one on one face to face appointments with Presbyterian Medicare Advantage members.
• Perform other functions as required.

All benefitseligible Presbyterian employees receive a comprehensive benefits package that includes medical dental vision shortterm and longterm disability group term life insurance and other optional voluntary benefits.

Wellness
Presbyterians Employee Wellness rewards program is designed to provide you with engaging opportunities to enhance your health and activate your wellbeing. Earn gift cards and more by taking an active role in our personal wellbeing by participating in wellness activities like wellness challenges webinar preventive screening and more.

Why work at Presbyterian
As an organization we are committed to improving the health of our communities. From hosting growers markets to partnering with local communities Presbyterian is taking active steps to improve the health of New Mexicans.

About Presbyterian Healthcare Services
Presbyterian exists to improve the health of patients members and the communities we serve. We are locally owned notforprofit healthcare system of nine hospitals a statewide health plan and a growing multispecialty medical group. Founded in New Mexico in 1908 we are the states largest private employer with nearly 14000 employees including more than 1600 providers and nearly 4700 nurses.

Our health plan serves more than 580000 members statewide and offers Medicare Advantage Medicaid (Centennial Care) and Commercial health plans.

AA/EOE/VET/DISABLED. PHS is a drugfree and tobaccofree employer with smoke free campuses.