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Senior advocate skills for your resume and career
15 senior advocate skills for your resume and career
1. Medicaid
- Provide behavioral health case management for LTSS Medicaid population both community and facility based.
- Research and resolve and questions or concerns regarding Medicaid, Medicare, Medicare Part D, and Reverse Mortgages.
3. Mental Health
Mental health is the state of wellbeing in which an individual can cope with the regular stresses and tensions of life, and can work productively without having any emotional or psychological breakdown. Mental health is essential for a person of any age and helps them make the right decisions in their life.
- Provided outreach and organizing services statewide to existing and developing mental health consumer groups and organizations.
- Advocated statewide for families, children, youth in the educational, juvenile justice and mental health systems.
4. Phone Calls
Phone calls are a wireless or wired connection made over a telephone or a mobile phone between two people. Two parties are involved in a phone call, the caller and the receiver. A caller dials the number of the one he wants to call, and the recipient hears a bell or a tune to which he picks up the call. The call establishes a connection between them through which they can communicate. The voice is converted into signals and is transmitted through wired or wireless technology.
- Take escalated phone calls and supervisory issues from fellow provider advocate representatives.
- Responded to phone calls and e-mails to the Borrower Advocacy Department for general information and dispute status.
5. Health Plan
- Review risk and shared shavings contracts to ensure cost effectiveness for health plan and provider.
- Maintained a complete knowledge of contractual arrangements and pharmaceutical plans of nationwide health plans.
6. Senior Care
- Represent individuals living in senior care facilities.
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A provider network is made up of pharmacies, healthcare providers, doctors, and facilities who contract with insurance companies to become an "in-network" provider. Most insurance companies have various networks of healthcare providers for different health plans.
- Work collaboratively with other internal resources to meet provider networking goals and objectives.
- Assist with physician, and Home and Community based provider network development under coordinated efforts with sales and clinical staff.
8. Crisis Intervention
- Provide individualized counseling and crisis intervention for students.
- Provided and coordinated crisis intervention and advocacy to survivors of sexual violence thorough a crisis line and in person.
9. Process Improvement
- Market Research: Analyzed market trends and performed competitive analysis to identify and recommend strategies and process improvements.
- Identify areas for process improvement based on systematic analyses of problem areas.
10. Medicare Advantage
- assigned to the Texas Retired Teachers accounts, assisting Plan Participants in their Traditional as well as their Medicare Advantage plans.
11. Community Resources
Community resources are a set of resources that are used in the day to day life of people which improves their lifestyle in some way. People, sites or houses, and population assistance can come under the services offered by community resources.
- Partnered clients with community resources, jobs, education, and other extra-curricular activities (e.g., GED services).
- Meet with member in various settings to help facilitate assistance with the community resources.
12. Network Composition
- Reviewed gaps in network composition and services to assist the network contracting and development staff in prioritizing contracting needs,
13. Outbound Calls
An outbound call is made by the call center representative to the customers on behalf of the company. Such calls help increase sales and generate revenue for the organization.
- Make outbound calls to patients to obtain further information and also fax out for prescription information.
- Serve as a customer service representative that manages both inbound and outbound calls for clients.
14. Underwriting Guidelines
Underwriting guidelines are a set of rules and requirements an insurer provides to its agents and underwriters. The underwriter then uses these instructions to judge the prospective insured, whether to accept, modify or reject it. These guidelines help the insurers set the criteria for the customer and let them know the amount of money that should be offered to the client, or whether not to offer an insurance policy in the first place.
- Communicate with internal and external customers about underwriting guidelines, policies, and marketing initiatives to service customer accounts.
- Trained underwriting colleagues on underwriting guidelines in preparation for service center expansion into new states.
15. Policy Issues
Policy issues are key issues that influence the economic, social, and political life of a place where conflicts arise over the direction of government policy. Often the policy issues are general, dealing with broad approaches to problems, such as whether the federal government should increase spending on national defense or whether social security should be privatized in some fashion.
- Assisted with policy issues and escalated calls.
- Serve on the front office phone team, answering inbound agent questions regarding variousdocumentation requirements and policy issues.
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List of senior advocate skills to add to your resume

The most important skills for a senior advocate resume and required skills for a senior advocate to have include:
- Medicaid
- Social Work
- Mental Health
- Phone Calls
- Health Plan
- Senior Care
- Provider Network
- Crisis Intervention
- Process Improvement
- Medicare Advantage
- Community Resources
- Network Composition
- Outbound Calls
- Underwriting Guidelines
- Policy Issues
- Community Services
- Customer Inquiries
- Domestic Violence
- Customer Accounts
- Sexual Assault
- Auto Policies
- Hippa
- Customer Complaints
- Inbound Calls
- Billing Issues
- Policy Changes
- Insurance Products
- Client Satisfaction
- Legal Issues
- Insurance Coverage
- Customer Issues
- HIPAA
- Salesforce
- HR
- Customer Retention
- Policy Holders
- CMS
- Training Materials
- HEDIS
- Web Hosting
- Conference Calls
- Medical Appointments
- Business Objectives
- Performance Objectives
- System Knowledge
Updated January 8, 2025
2. Social Work