Advocate

• Verify participant eligibility
• Review program consent with clients
• Enter program intake, client information, breastfeeding contacts, and referrals into IWIC
• Instruct clients on using the EBT card, shopping list, and IWIC app
• Obtain and document client anthropometric measurements using length/height boards, scales, head circumference tapes, and non-invasive hemoglobin monitors
• Manage client schedules and communications via telephone, voicemail, in person, email, text, and virtual channels
• Provide translation for WIC staff and clients as a bilingual staff member
• Float frequently between Diversey, Albany Park, Howard, and Irving Park
• Complete intensive breastfeeding education training during the first year of employment
• Upon successful training completion, earn BFPC or BFPE title depending on previous breastfeeding experience

WIC Advocate

• Respond to inbound member inquiries via telephone and email regarding provider access, plan benefits, claims, and balance billing concerns
• Conduct outbound outreach to providers to confirm plan acceptance and gather required information
• Support balance billing resolution and facilitate member access to care
• Educate members, providers, employers, brokers, and internal partners on plan design, coverage, tools, and resources
• Obtain, review, and document information related to provider access issues and balance billing concerns
• Coordinate signed HIPAA authorizations when required
• Serve as a liaison between members, providers, and internal teams
• Document interactions, actions, and outcomes in applicable systems
• Meet productivity, quality, and customer service performance metrics
• Collaborate with Client Service team members and leadership on projects, ad hoc reporting, and process support
• Escalate complex access or resolution issues to leadership
• Perform other duties as assigned

Member Advocate

• Make inbound and outbound calls to members and providers regarding healthcare visits, screenings, vaccinations, and medication refills
• Work through barriers preventing members from achieving good health
• Deliver an exceptional member experience through professional, empathetic conversations
• Educate members to support informed health decisions and improved health outcomes
• Accurately document conversations in members’ health records
• Help Medicare members understand and complete important health screenings and activities
• Explain benefits related to specific screenings and medications
• Assist members and providers with health services, medications, and resources
• Escalate issues for resolution when needed
• Meet business metrics and goals while working independently in a fast-paced environment

Advocate jobs in Illinois

WIC Advocate

Member Advocate

Health Advocate – Inbound/Outbound Calls