Intake Care Senior Representative

HireTalent

  • Bloomington, MN
  • 30+ days ago
  • Remote

    Highlights

    Advocates handle inbound calls from members and providers regarding mental health and substance use disorder (SUD) services, guiding them through plan processes and ensuring first call resolution .Call types include member triage and risk of harm assessment, provider referrals, benefits and eligibility inquiries, authorizations, and complaint submissions. EDUCATION REQUIREMENTS One of the following is required: Bachelor's degree in a mental health-related field (psychology, social work, family communications, health coaching, community/public health, or related major).

    Numbers & Facts

    LocationBloomington, MN (
    Remote
    )

    Description

    JOB TITLE: Intake Care Senior Representative
    NUMBER OF POSITIONS: 2
    LOCATION: 100% Remote (Work From Home)
    START DATE: 07/06/2026
    EST. END DATE: 12/04/2026
    HOURS/WEEK: 40 hrs | 8 hrs/day | 5 days/week WORK SCHEDULE
    Training: Monday Friday, 8:30 AM 5:00 PM CST
    Post-Training: Shift assigned within 9:00 AM 8:00 PM EST, Monday Friday
    Core Hours: 10:30 AM 7:00 PM CST
    Preferred Time Zones: CST, MST, PST
    Internet: Reliable high-speed internet connection REQUIRED
    POSITION OVERVIEWThe Intake Care Senior Representative (Behavioral Advocate) is a non-clinical, inbound customer service role supporting a Behavioral Health program. This is a full-time, work-from-home position. Advocates handle inbound calls from members and providers regarding mental health and substance use disorder (SUD) services, guiding them through plan processes and ensuring first call resolution.Call types include member triage and risk of harm assessment, provider referrals, benefits and eligibility inquiries, authorizations, and complaint submissions. Due to the sensitive and emotionally complex nature of behavioral health calls, this role requires empathy, discretion, and a strong command of multiple proprietary systems simultaneously. TOP 3 NON-NEGOTIABLE SKILLS
    1.> Empathy & Active Listening Ability to triage and assess members for risk of harm and substance use concerns
    2.= Strong Technology Skills Intuitive technical capabilities to quickly learn and navigate multiple proprietary systems simultaneously
    3.= Multitasking & Organization Ability to manage multiple tasks, applications, and call types concurrently
    KEY RESPONSIBILITIES
    Answer high-volume inbound calls from members and providers in a structured queue environment
    Use active listening and empathy to triage members and assess for risk of harm or substance use concerns
    Coordinate with matrix partners and facilitate warm handoffs to clinical partners when needed
    Communicate eligibility, generate provider referral lists, quote benefits, and advise on authorization requirements
    Write authorizations to ensure accurate claims processing
    Make outbound follow-up calls when issues require additional resolution
    Send resources to members and providers via email
    Submit complaints on behalf of members or providers
    Independently problem-solve to ensure accurate information and exceptional customer experience
    Maintain compliance and professionalism in all interactions involving sensitive mental health topics
    REQUIRED SKILLS & QUALIFICATIONS
    Customer service experience (call center environment preferred)
    Superb interpersonal and written/verbal communication skills
    Effective listening and organizational skills
    Independent problem-solving ability
    Strong time management and multitasking capabilities
    Proficient typing and PC skills
    Ability to quickly learn and navigate multiple proprietary/internal systems
    Experience in a virtual/remote team environment
    Professional and positive image with external customers
    Preferred:
    Prior experience in a patient-focused mental health or behavioral health environment
    EDUCATION REQUIREMENTSOne of the following is required:
    Bachelor's degree in a mental health-related field (psychology, social work, family communications, health coaching, community/public health, or related major)
    OR Bachelor's degree in an unrelated field plus 2+ years of experience in the behavioral health field
    LANGUAGE REQUIREMENTS
    English: Read | Write | Speak
    WORK ENVIRONMENT NOTES
    100% remote dedicated quiet workspace required
    Reliable high-speed internet is mandatory
    Initial training focuses on member calls (triage, referrals, benefits, eligibility)
    Provider call training begins once member call proficiency is established

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