Health Care Services Advocate

divh2Provider Services Advocate/h2pWe are seeking a Provider Services Advocate to join our team at Independent Living Systems (ILS). ILS, along with its affiliated health plans known as Florida Community Care and Florida Complete Care, is committed to promoting a higher quality of life and maximizing independence for all vulnerable populations./ppThe Provider Services Advocate plays a critical role in supporting healthcare providers by serving as a liaison between providers and the health care organization. This position ensures that providers receive timely assistance with inquiries, claims, and service issues, ultimately enhancing provider satisfaction and operational efficiency. The advocate will analyze provider concerns, coordinate with internal departments, and facilitate resolutions to complex problems. By maintaining strong relationships and clear communication channels, the role contributes to the seamless delivery of healthcare services. The ultimate goal is to foster a collaborative environment that supports providers in delivering high-quality patient care./ppMinimum Qualifications:/pulliHigh school diploma or equivalent./liliTwo to three years experience in customer service./liliKnowledge of automated systems (technical adeptness) required./liliDemonstrated proficiency in Microsoft programs (i.e., Excel, Word, PowerPoint) required./li/ulpPreferred Qualifications:/pulliAssociates or Bachelors degree in healthcare administration or related field preferred./liliExperience working with Medicaid, Medicare, or commercial insurance providers./liliExperience processing UB04 and CMS 1500 claims/liliFamiliarity with healthcare regulatory requirements and compliance standards./liliCertification in healthcare customer service or provider relations./liliDemonstrated ability to use data analytics tools to identify trends and support decision-making./li/ulpResponsibilities:/pulliServe as the primary point of contact for healthcare providers seeking assistance with claims, billing, credentialing, and service-related inquiries./liliInvestigate and resolve provider issues by collaborating with internal teams such as claims processing, credentialing, and customer service./liliMaintain accurate records of provider interactions, issues, and resolutions to ensure accountability and continuous improvement./liliCommunicate policy updates, procedural changes, and relevant information to providers to keep them informed and compliant./liliIdentify trends in provider concerns and recommend process improvements to enhance provider experience and operational workflows./li/ul/div

Independent Living Systems, LLC