Provider Advocate, Medicare Advantage

CommuniCare Health Services
York, PA Full Time
POSTED ON 12/10/2024
AVAILABLE BEFORE 1/9/2025
CommuniCare Advantage is currently recruiting Provider Advocates for our Medicare Advantage health plan. This is a fully remote position that can be based anywhere in our area of coverage, which includes the states of Ohio, Indiana, Maryland, Virginia, and Pennsylvania.

PURPOSE / BELIEF STATEMENT

Provider Advocates are dedicated liaisons for the health plan and its providers. Provider Advocates are responsible for ensuring that providers (individual, group, ancillary, etc.) are set up accurately in the provider information system for reporting, claims payment, and directories. Provider Advocates are also responsible for researching and responding to provider related issues. Provider Advocates directly support the VP, Network and Provider Operations, the Network and Provider Relations Managers, and the Network team.

What We Offer

Beyond our competitive wages and Paid Time Off, we offer all full-time employees a variety of benefit options including:

  • Life Insurance
  • LTD/STD
  • Medical, Dental, and Vision
  • 401(k) Employer Match with Flexible Spending Accounts

Required

QUALIFICATIONS / EDUCATION REQUIREMENTS:

  • High School diploma
  • 2 years work experience in health insurance provider relations, provider support, billing, or healthcare office management.
  • Expert/Highly Skilled with computer skills: Windows - based applications and Microsoft applications
  • Advanced organizational and communication skills
  • Function independently and responsibly with minimal need for supervision

Preferred Qualifications

  • Ability to develop and manage relationships
  • Credentialing or Provider Relations experience
  • Health plan experience
  • Ability to manage multiple priorities
  • Understanding of healthcare structures
  • Understanding and experience with insurance and/or billing
  • Experience in long term care
  • Experience with medical terminology

Job Skills

  • Must have strong oral and written communication skills.
  • Must be detail oriented with an ability to work well both independently and in a team setting.
  • Strong time management skills required. Must be able to prioritize and adhere to competing deadlines.
  • Must be proficient with computer skills and Microsoft applications.

Primary Responsibilities And Essential Functions

  • Research and effectively respond to provider related issues
  • Submit provider data entries to resolve provider-related demographic information changes
  • Initiate and process provider add, change and termination forms
  • Track, update, and audit provider data
  • Provide assistance to providers with provider portal registration
  • Completes special projects as assigned

Qualified candidates, apply now for a chance to join our outstanding team!

For Employer
Looking for Real-time Job Posting Salary Data?
Keep a pulse on the job market with advanced job matching technology.
If your compensation planning software is too rigid to deploy winning incentive strategies, it’s time to find an adaptable solution. Compensation Planning
Enhance your organization's compensation strategy with salary data sets that HR and team managers can use to pay your staff right. Surveys & Data Sets

What is the career path for a Provider Advocate, Medicare Advantage?

Sign up to receive alerts about other jobs on the Provider Advocate, Medicare Advantage career path by checking the boxes next to the positions that interest you.
Income Estimation: 
$55,542 - $71,087
Income Estimation: 
$74,193 - $92,560
Income Estimation: 
$49,530 - $60,390
Income Estimation: 
$55,542 - $71,087
Income Estimation: 
$74,193 - $92,560
Income Estimation: 
$49,530 - $60,390
Income Estimation: 
$74,193 - $92,560
Income Estimation: 
$79,715 - $104,575
Income Estimation: 
$56,447 - $72,323
Income Estimation: 
$106,532 - $140,669
Income Estimation: 
$162,137 - $221,313
Income Estimation: 
$162,890 - $208,619
Income Estimation: 
$56,447 - $72,323
Income Estimation: 
$79,715 - $104,575
Income Estimation: 
$68,916 - $86,149
View Core, Job Family, and Industry Job Skills and Competency Data for more than 15,000 Job Titles Skills Library

Job openings at CommuniCare Health Services

CommuniCare Health Services
Hired Organization Address Hinton, WV Full Time
CommuniCare Health Services is currently recruiting an Employee Life Cycle (HR) Manager at Summers Healthcare Center loc...
CommuniCare Health Services
Hired Organization Address Hinton, WV Full Time
PHP Nurse Practitioners have a passion for delivering quality care to seniors and other residents in a variety of health...
CommuniCare Health Services
Hired Organization Address Jane Lew, WV Part Time
A DEEPER COMPASSION, FOR A HIGHER PURPOSE Nurses are at the heart of our world-class, patient-centered standard of care....
CommuniCare Health Services
Hired Organization Address Kingwood, WV Full Time
A DEEPER COMPASSION, FOR A HIGHER PURPOSE Nurses are at the heart of our world-class, patient-centered standard of care....

Not the job you're looking for? Here are some other Provider Advocate, Medicare Advantage jobs in the York, PA area that may be a better fit.

Medicare Coordinator - Part A

Masonic Village at Elizabethtown, Elizabethtown, PA

Digital Marketer

Advantage Lifts, Hanover, PA