American Health Advantage needs a customer-service focused leader to support local service areas. Responsibilities After member is enrolled, coordinate with Insurance Producer to ensure seamless transition between enroll…
Lead Patient Admissions Coordinator - Full Time, Evening Shift, On Site
Lubbock, Texas, United States · On-site
$18/hr–$27/hr
Mid level
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Lubbock Family Medicine
Medical Office Manager
Lubbock, Texas, United States · On-site
Mid level
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Full-time
Posted 9h ago
~40 hrs/week
Responsibilities
The Member Advocate coordinates care transitions for enrolled members and acts as a primary point of contact for members, families, and facility staff. They are responsible for maintaining regional provider relationships, ensuring CMS compliance, and conducting monthly member visits.
Requirements
Candidates must have experience in a healthcare setting working with elderly patients, preferably in nursing homes. Strong organizational, communication, and interpersonal skills are required, along with reliable transportation for regional travel.
Full job description
American Health Advantage needs a customer-service focused leader to support local service areas.
Responsibilities
After member is enrolled, coordinate with Insurance Producer to ensure seamless transition between enrollment/customer service success is achieved.
Once member is enrolled, follow up member to ensure that any questions are answered, act as a point of contact if the member or their family needs assistance with the plan, or provide them with periodic updates about the plan;
Act as front-line support as needed with the member, partner facility and integrated care team to ensure the needs of the Member and Plan are met;
Develop and maintain relationships with key network providers/facilities within assigned region; support continued regional network development activities necessary to meet network adequacy requirements;
Meet with the member and/or their family at least monthly;
Follow up on any items that the members are dissatisfied with and report to plan accordingly;
Develop and maintain reporting to include but not limited to managing member status, daily/weekly/monthly facility calendar, issues tracking/management;
Ensure that ALL interactions with the member are compliant with CMS regulations;
The Member Advocate will be responsible for a group of nursing facilities; the Member Advocate is responsible for ensuring that the above services are carried out for each of the members in your assigned group of facilities;
Other responsibilities as assigned.
Qualifications/ Requirements
Experience successfully working in a healthcare delivery setting with elderly patients as either a clinician, social worker or caregiver. Nursing home experience is preferred.
Exceptional interpersonal skills with demonstrated ability to work independently as well as with a team; must be a good listener to understand feedback raised by the family;
Ability to work well with staff at each of the nursing homes in the assigned region to include nursing staff, doctors and administration staff;
Ability to deliver outstanding customer service with a proven track record;
Compliant, at all times, with CMS regulations regarding Medicare Advantage Plans
Exceptional organizational skills
Strong written and verbal communication and clear-thinking skills with the ability to synthesize complex issues into simple messages
Willingness and ability to travel to facilities within your assigned region; have dependable transportation, a current driver’s license, a clean driving record, and proof of insurance;
Strong proficiency in computer skills in Microsoft Office Suite products;
Have suitable home work space allowing for productive office environment.
Insurance or Insurance Customer Service License is preferred; however, not required.
Our Experience is Second to None.
TruHealth’s nurse practitioners (NPs) and physician assistants (PAs) are contracted to work in skilled nursing facilities in multiple states, including Tennessee, Kansas, Oklahoma and others. Our providers expand patients’ access to care and may act as care managers for specialized Medicare Advantage health plans serving residents in long-term care communities.
Offices: 201 Jordan Rd, Franklin, Tennessee 37067, US
How many Administrative jobs are open in Lubbock, TX right now?
There are currently 278 open administrative positions in Lubbock, TX listed on Clera. New openings are added daily as companies post roles.
Which companies are hiring for Administrative roles in Lubbock, TX?
Companies currently hiring include PROVIDENCE MEDICAL INSTITUTE, Prosperity Bank, City Bank, Ernest Health, Tailwind Group, among others. Browse the listings above to see every active employer.
Are there remote or hybrid Administrative jobs in Lubbock, TX?
Yes — 20 of the 278 open administrative positions offer remote or hybrid work (7 remote, 13 hybrid).
How do I apply for Administrative jobs in Lubbock, TX?
Each listing links directly to the employer's application page. Apply early — fresh listings get the most recruiter attention in the first two weeks.