Health Services Patient Advocate

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Full Time Full Time New York, NY, US

2 days ago Requisition

$62,974.18 To $65,276.85 Annually

Job Code

892

Department Name

Health Services

Reports To

Health Services Manager

FLSA Status

Non Exempt

Additional Compensation for Bilingual: $1,000/annually

Union Code

53A

Management

No

About Us:

Building Services 32BJ Benefit Funds (“the Funds”) is the umbrella organization responsible for administering Health, Pension, Retirement Savings, Training, and Legal Services benefits to over 100,000 SEIU 32BJ members. Our mission is to make significant contributions to the lives of our members by providing high quality benefits and services. Through our commitment, we embody five core values:
Flexibility, Initiative, Respect, Sustainability, and Teamwork (FIRST). By following our core values, employees are open to different and new ways of doing things, take active steps to improve the organization, create an environment of trust and respect, approach their work with the intent of a positive outcome, and work collaboratively with colleagues.

The Funds oversees and manages $9 billion of dollars in assets, which are made up of many, varied and complex funds. The dollars come from a number of sources, including the property owners who pay into the funds on behalf of their employees, and as such, requires those who oversee and manage the money to be highly skilled financial management people.

For 2025 and beyond, 32BJ Benefit Funds will continue to drive innovation, equity, and technology insights to further help the lives of our hard-working members and their families. We use cutting edge technology such as: M365, Dynamics 365 CRM, Dynamics 365 F&O, Azure, AWS, SQL, Snowflake, Qlik View, and more.

Please take a moment to watch our video to learn more about our culture and contributions to our members:

Job Summary:

This position is a key part of developing, expanding, and maintaining the Health Fund programs. The Health Services Patient Advocate is responsible for the maintenance of relationships with the 5 Star Centers, supporting the operations of the Health Fund Programs, responding to member and provider issues, and assisting members in choosing in-network providers, particularly 5 Star Centers and partnered providers. The Patient Advocate for Health Services addresses member concerns from the initial inquiry stage through resolution, engages in marketing strategies, and offers insights for ongoing quality enhancement of the Health Services Team.

Furthermore, this role also contributes to various operational support tasks within the Health Services Team.

Essential Duties and Responsibilities:

• Cultivate relationships with management and administrative staff at specified 5 Star Centers to assist in addressing member issues as they arise from the first inquiry to the resolution
• Assist members with selecting appropriate providers based on medical criteria and scheduling appointments at 5 Star Centers
• Review cases and directly communicate advantages of medical options while also addressing the limitations or alternative options available to members
• Investigate member complaints and serve as advocates when a complaint is filed against 5 Star providers to determine a resolution
• Investigate and identify any patterns and/or trends of Health Fund program issues with service provision and address accordingly or notify management
• Address member concerns about Fund programs
• Complete all program enrollment processes for eligible, interested members
• Utilize Health Services Database to track interactions related to fund programs
• Work with members and the providers to verify the correct…