Behavioral Health Member Services Specialist

Amerihealth Caritas • Lower Paxton Township, PA

10d • Remote

About The Position

Member Services Specialists are the first point of contact for youth, families/caregivers and providers. They are responsible for answering all calls within a specific service level agreement and completing the registration process as well as managing questions from treatment providers. Member Services Specialists determines the appropriate routing of the call and attempts to be the first point of resolution. This position is also responsible for maintaining consistent procedures and providing outstanding customer service.

Requirements

• Bachelor’s degree (BS or BA) from an accredited college or university required.
• Proficiency in Windows-based PC applications.
• Must have access to a reliable high-speed internet connection to support daily job responsibilities. A minimum bandwidth of 50 Mbps download and 5 Mbps upload is required.

Nice To Haves

• 1 to 3 years of behavioral health experience preferred.
• Strong written and verbal communication skills; ability to respond sensitively to Member inquiries preferred.
• Previous customer service and data entry experience desired, preferably in a call center environment.
• Minimum of one year of experience in mental health and/or human services preferred.

Responsibilities

• Answer incoming calls and provide information about PerformCare’s operations and services.
• Complete intake documentation for Members 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 additional resources, including the Member Handbook and provider lists within the Member’s geographic region.
• Enter requests and authorizations into the system accurately.

Benefits

• Flexible work solutions including remote options, hybrid work schedules
• Competitive pay
• Paid time off including holidays and volunteer events
• Health insurance coverage for you and your dependents on Day 1
• 401(k)
• Tuition reimbursement
• Those fully remote associates residing in states where service is required by contract, law, or regulation will be allowed to submit for reimbursement.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level