Care Advocate

Prominence Health is a value-based care organization bridging the gap between affiliated health systems and independent providers, building trust and collaboration between the two. We create value for populations and providers to strengthen integrated partnerships, advance market opportunities, and improve outcomes for our patients and members. Founded in 1993 as a health maintenance organization (HMO), Prominence Health was acquired by a subsidiary of Universal Health Services, Inc. (UHS) in 2014. We serve members, physicians, and health systems across Medicare, Medicare Advantage, Accountable Care Organizations, and commercial payer partnerships, committed to transforming healthcare delivery by improving health outcomes while controlling costs and enhancing the patient experience.

About the role

The Care Advocate is a dedicated healthcare professional who compassionately and quickly advocates for our members' care by educating members and providers about benefit plans, scheduling appointments, navigating bills, and arranging transportation for Medicare lines of business.

Responsibilities

• Educate members and providers about benefit plans
• Schedule member appointments
• Navigate bills and resolve billing inquiries
• Arrange transportation for Medicare lines of business
• Address member and provider questions, problems, or complaints with active listening, empathy, and compassion

Requirements

• High school diploma or GED required; AA degree preferred
• Basic understanding of medical and healthcare terms and processes preferred
• Strong written and verbal communication skills
• Positive customer service skills, including active listening, empathy, and compassion
• Resourcefulness, problem-solving abilities, attention to detail, and teamwork orientation
• Technical proficiency in software navigation, web-based programs, and office applications
• Flexibility to meet changing business demands
• Ability to be present, complete tasks, consistently do the right thing, and work toward business goals
• Appetite for growth, learning, and working in a fast-paced, challenging environment
• Ability to learn new lines of business, software, platforms, and methods for processing member and provider service requests

Benefits

• Loan Forgiveness Program
• Challenging and rewarding work environment
• Competitive compensation and generous paid time off
• Excellent medical, dental, vision, and prescription drug plans
• 401(K) with company match and discounted stock plan
• SoFi Student Loan Refinancing Program
• Career development opportunities within UHS and its 300+ subsidiaries

Universal Health Services (UHS) is one of the nation’s largest and most respected providers of hospital and healthcare services, operating acute care hospitals, behavioral health facilities, outpatient facilities, ambulatory care access points, an insurance offering, a physician network, and various related services across the U.S., Washington, D.C., Puerto Rico, and the United Kingdom.