Member Services Specialist

Amerihealth Caritas•Robbinsville Township, NJ

5d•$50,000 - $52,000•Remote

About The Position

Member Services Specialists are the first point of contact for youth, families and caregivers, and providers accessing the System of Care. They answer calls within a specified service level agreement, complete registration, manage questions from treatment providers, determine appropriate call routing, and seek to resolve inquiries at the first point of contact. The role also maintains consistent procedures and provides outstanding customer service. The organization connects youth and families to mental health, intellectual and developmental disability (I/DD), and substance use services through public programs such as New Jersey’s Children’s System of Care (CSOC). This is a remote position for candidates in Delaware, New Jersey, New York, or Pennsylvania who live within three hours of Robbinsville, New Jersey. The schedule is Tuesday through Saturday, with Sundays and Mondays off. Hours are Tuesday through Friday, 12:00 p.m. to 8:30 p.m., and Saturday, 10:30 a.m. to 7:00 p.m. The position rotates holidays.

Requirements

Strong written and verbal communication skills and the ability to respond sensitively to Member inquiries.
Proficiency in Windows-based PC applications.
Bachelor’s degree (BS or BA) from an accredited college or university preferred.
One to three years of behavioral health experience preferred.
Previous customer service and data entry experience desired, preferably in a call center environment.
At least one year of experience in mental health and/or human services preferred.

Nice To Haves

Bachelor’s degree (BS or BA) from an accredited college or university.
One to three years of behavioral health experience.
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.
Strong written and verbal communication skills and the ability to respond sensitively to Member inquiries.

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 call routing and attempt to resolve inquiries at the first point of contact.
Manage questions from treatment providers and maintain consistent procedures.