Part Time Behavioral Health Member Services Specialist

Amerihealth Caritas • Lower Paxton Township, PA

5d • Remote

About The Position

Member Services Specialists are the first point of contact for youth, families and caregivers, and providers. They answer calls within a specified service-level agreement, complete the registration process, manage questions from treatment providers, determine appropriate call routing, and seek to resolve inquiries at first contact. The role also maintains consistent procedures and provides outstanding customer service.

This is a fully remote position. The schedule must accommodate Saturday and Sunday from 3:00 p.m. to 11:00 p.m. Eastern Time. Required training takes place during first- and second-shift hours for at least 14 hours per week. Remote employees need reliable high-speed internet with a minimum bandwidth of 50 Mbps download and 5 Mbps upload. Fully remote associates in states where reimbursement is required by contract, law, or regulation may submit for reimbursement.

Requirements

• Bachelor’s degree (BS or BA) from an accredited college or university.
• Proficiency in Windows-based PC applications.
• Ability to accommodate Saturday and Sunday work from 3:00 p.m. to 11:00 p.m. Eastern Time.
• Participation in required training during first- and second-shift hours for at least 14 hours per week.
• For remote work, access to reliable high-speed internet with a minimum of 50 Mbps download and 5 Mbps upload.

Nice To Haves

• One to three years of behavioral health experience.
• Strong written and verbal communication skills.
• Ability to respond sensitively to Member inquiries.
• Previous customer service and data entry experience, preferably in a call center environment.
• At least one year of experience in mental health and/or human services.

Responsibilities

• Answer incoming calls and provide information about PerformCare’s operations and services.
• Complete Member intake documentation accurately and efficiently.
• Explain procedures for accessing behavioral health services.
• Address Member complaints by initiating the PerformCare Grievance and Complaint process.
• Explain Member rights upon request and provide resources such as the Member Handbook and provider lists for the Member’s geographic region.
• Enter requests and authorizations into the system accurately.
• Determine appropriate routing of calls and attempt to resolve inquiries at first contact.
• Maintain consistent procedures and provide outstanding customer service.
• Answer calls within the specified service-level agreement and complete the registration process.
• Manage questions from treatment providers.

Benefits

• Flexible work solutions, including remote options and hybrid work schedules.
• Competitive pay.
• Paid time off, including holidays and volunteer events.
• Health insurance coverage for the employee and dependents beginning on Day 1.
• 401(k).
• Tuition reimbursement.
• Reimbursement may be submitted by fully remote associates residing in states where reimbursement is required by contract, law, or regulation.

What This Job Offers

• Job Type: Part-time