Job ID: CA846276123
Location: Houston, TX
Category: Clerical/Office
Employment Type: Contract
Customer Service Representative – Medicaid | $17/hour. | Monday – Friday 8am – 5pm | Fully on-site
4-month contract with possibility for extension
What Matters Most
- Competitive Pay of $17.00 per hour plus additional compensation
- Schedule: Monday – Friday 8am – 5pm
- Location: Houston, Texas 77081
- Contract-to-possible hire opportunity with career growth and stability
- Weekly Pay with direct deposit or pay card
- When you work through The Reserves Network, you are eligible to enroll in dental, vision and medical insurance as well as 401K, direct deposit and our referral bonus program
Job Description
The Service Coordination Advocate plays a crucial role in facilitating healthcare service coordination for our STAR+PLUS members. This position manages administrative tasks such as processing service requests, scheduling and rescheduling appointments, completing Health Risk Assessments, and ensuring seamless service delivery operations.
The role involves handling complex calls related to medical, behavioral health, long-term care issues, and LTSS SP waivers. It requires skilled professionals capable of accurately assessing member needs, providing precise information, and effectively coordinating necessary services.
Responsibilities:
- Respond promptly to STAR+PLUS member and provider calls regarding scheduling, eligibility, claims, and authorizations.
- Handle complex medical, behavioral health, and long-term care calls, ensuring accurate assessment and coordination of services.
- Maintain knowledge of STAR+PLUS, OICS, and CRM systems, entering information accurately and following policies.
- Collaborate with internal teams to deliver exceptional member and provider support.
Qualifications and Requirements:
- A High School Diploma or GED is required.
- Six (6) months of call center experience is required; managed care/health insurance experience is highly preferred.
- Bilingual in English and Spanish is preferred.
- Proficiency in computers, including Microsoft Office Suite, is required.
- Strong attention to detail, written and verbal communication, time management, and organizational skills are required.
Benefits and Perks:
- Competitive pay rate of $17/hour.
- Medical Benefits via contractor plan
- Training & growth opportunity
- Ability to work for a government entity
Your New Organization:
A nonprofit, local managed care organization dedicated to enhancing the health and well-being of Texas residents. Established in 1997 by Harris Health System, the region’s public academic healthcare system, it initially provided STAR Medicaid coverage to low-income children. This non-profit offers a full range of affordable and no-cost health insurance plans and boasts one of the largest provider networks in southeast Texas.
Your Career Partner:
The Reserves Network, a veteran-founded and family-owned company, specializes in connecting exceptional talent with rewarding opportunities. With extensive industry experience, we are dedicated to helping you achieve your professional goals and shine in your field. The Reserves Network values diversity and encourages applicants from all backgrounds to apply. As an equal-opportunity employer, we foster an environment of respect, integrity, and trust in every aspect of employment.
In the spirit of pay transparency, we want to share the base salary rate for this position is $17/hour, not including benefits, potential bonuses or additional compensation. If you are hired, your base salary will be determined based on factors such as individual skills, qualifications, experience, and geographic location. In addition, we also believe in the importance of pay equity and consider the internal equity of our current team members as a part of any final offer. Please keep in mind that the range mentioned above is the full base salary range for the role. Hiring at the maximum of the range would not be typical in order to allow for future & continued salary growth
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