Part Time Behavioral Health Member Services Specialist
AmeriHealth Caritas
- Harrisburg, PA
- 2 days ago
- Remote
Highlights
As one of the nation's leaders in health care solutions, we offer our associates the opportunity to impact the lives of millions of people through our national footprint of products, services and award-winning programs. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services.
Numbers & Facts
| Location | Harrisburg, PA (Remote) |
| Industry | Healthcare Services |
| Company Size | 5,000 to 9,999 employees |
| Year Founded | 1985 |
| Website | http://www.amerihealthcaritas.com |
Description
Job Description:
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.
Work Arrangement/Schedule
+ Fully Remote; must be able to accommodate Saturday and Sunday 3:00pm-11:00pm Eastern Time Zone
+ Required Training will take place during 1st and 2nd shift hours at a minimum of 14 hours a week
Key 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.
Education & Experience
+ Bachelor’s degree (BS or BA) from an accredited college or university required.
+ 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.
+ Proficiency in Windows-based PC applications.
Our Comprehensive Benefits Package
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 and more.
For roles that are 100% remote or hybrid, you 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. Those fully remote associates residing in states where service is required by contract, law, or regulation will be allowed to submit for reimbursement.
Your career starts now. We’re looking for the next generation of health care leaders.
At AmeriHealth Caritas, we’re passionate about helping people get care, stay well and build healthy communities. As one of the nation's leaders in health care solutions, we offer our associates the opportunity to impact the lives of millions of people through our national footprint of products, services and award-winning programs. AmeriHealth Caritas is seeking talented, passionate individuals to join our team. Together we can build healthier communities. If you want to make a difference, we’d like to hear from you.
Headquartered in Newtown Square, AmeriHealth Caritas is a mission-driven organization with more than 30 years of experience. We deliver comprehensive, outcomes-driven care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services.
Discover more about us at www.amerihealthcaritas.com .
As a company, we support internal diversity through:
Recruiting. We are an equal opportunity employer. We do not discriminate on the basis of age, race, ethnicity, gender, religion, sexual orientation, or disability. Our inclusive, equitable approach to recruiting and hiring reinforces our commitment to DEI.
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.
Work Arrangement/Schedule
+ Fully Remote; must be able to accommodate Saturday and Sunday 3:00pm-11:00pm Eastern Time Zone
+ Required Training will take place during 1st and 2nd shift hours at a minimum of 14 hours a week
Key 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.
Education & Experience
+ Bachelor’s degree (BS or BA) from an accredited college or university required.
+ 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.
+ Proficiency in Windows-based PC applications.
Our Comprehensive Benefits Package
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 and more.
For roles that are 100% remote or hybrid, you 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. Those fully remote associates residing in states where service is required by contract, law, or regulation will be allowed to submit for reimbursement.
Your career starts now. We’re looking for the next generation of health care leaders.
At AmeriHealth Caritas, we’re passionate about helping people get care, stay well and build healthy communities. As one of the nation's leaders in health care solutions, we offer our associates the opportunity to impact the lives of millions of people through our national footprint of products, services and award-winning programs. AmeriHealth Caritas is seeking talented, passionate individuals to join our team. Together we can build healthier communities. If you want to make a difference, we’d like to hear from you.
Headquartered in Newtown Square, AmeriHealth Caritas is a mission-driven organization with more than 30 years of experience. We deliver comprehensive, outcomes-driven care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services.
Discover more about us at www.amerihealthcaritas.com .
As a company, we support internal diversity through:
Recruiting. We are an equal opportunity employer. We do not discriminate on the basis of age, race, ethnicity, gender, religion, sexual orientation, or disability. Our inclusive, equitable approach to recruiting and hiring reinforces our commitment to DEI.
About Company
Leaders in health care solutions for those most in need
AmeriHealth Caritas is the nation's leader in providing comprehensive health care solutions for those in most need and the chronically ill. We impact the lives of more than 5.7 million members nationwide. With more than 30 years of experience managing care for individuals and families in publicly-funded programs, we have become known for developing innovative solutions that help improve health outcomes while reducing costs.
Our mission, our goal
Our mission is to help people get care, stay well and build healthy communities. Our goal is to provide responsible managed care solutions, including Medicaid, Medicare, and CHIP - plus behavioral health, pharmacy benefits management and third-party management and administrative services.
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