Overview
Skills
Job Details
Immediate need for a talented Intake Care Senior Representative. This is a 03+months contract opportunity with long-term potential and is located in US (Remote). Please review the job description below and contact me ASAP if you are interested.
Job ID: 25-74307
Pay Range: $20 - $21/hour. Employee benefits include, but are not limited to, health insurance (medical, dental, vision), 401(k) plan, and paid sick leave (depending on work location).
Key Responsibilities:
- The primary responsibility of this role is to answer inbound calls from members and providers.
- The work environment is structured, and the majority of the day will be spent answering these calls from a queue.
- Occasional outbound calls may be necessary for issues requiring follow-up.
- Within a call an Advocate may:
- Use active listening and empathy skills to triage and assess for risk of harm and substance use concerns
- Coordinate with multiple matrix partners, and facilitate seamless hand offs to clinical partners for timely support
- Communicate eligibility, generate a list of provider referrals, quote benefits, or advise of authorization requirements for services
- Write authorizations to ensure claims are paid correctly
- Provide follow-up on issues by making outbound calls when necessary
- Send resources to members and providers via email
- Submit a complaint on the members or provider s behalf
- Independently problem-solve to ensure accurate information is given, and exceptional customer service and first call resolution is achieved
Key Requirements and Technology Experience:
- Key Skills; customer service representative, mental health, substance abuse and psychology
- Customer Service experience
- Prior experience working in a patient focused mental health environment preferred
- Ability to maintain a professional and positive image to external customers
- Candidate must possess superb interpersonal communication skills
- Effective listening and organizational skills, with the ability to manage multiple tasks
- Client technical capabilities with the ability to quickly understand and apply working knowledge on several proprietary systems
- Independent problem solving skills
- Able to excel and/or prior successful experience in a virtual team environment
- Strong time management skills
- Ability to type effectively and have strong PC skills
- Due to the complexity of assessing members for risk of harm and substance use concerns, legal requires a bachelor s degree in the mental health field or psychology/social work-related field (family communications, health coaching, community/public health or other related major).
Our client is a leading Healthcare and insurance Industry and we are currently interviewing to fill this and other similar contract positions. If you are interested in this position, please apply online for immediate consideration.
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