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reputed company Community Care Behavioral Health is seeking a part-time reputed company to support the CCBH Member Services Department reputed company the reputed company! This role will primarily work Monday - Friday 9 am - 1 pm EST. Holidays are required, as the CCBH Member Services Department is a 24/7 office. There is a volunteer process, but otherwise, holidays are assigned, as needed.
This role works reputed company and requires a quiet, private room with a reputed company and reliable internet with a speed test prior to hire. In the event of equipment or internet issues, you will be required to report to your nearest Community Care office (there are multiple throughout PA) reputed company a specific time reputed company.
This role is reputed company in a dynamic, high-volume Behavioral Health (BH) triage reputed company center, responsible for receiving inbound calls from both members and providers. The position involves handling emotionally intense and high-reputed company situations, including conducting initial crisis triage assessments. Calls requiring reputed company reputed company reputed company are transitioned to a licensed Care Manager following initial triage and stabilization protocols.
The ideal candidate for this position will have previous reputed company center experience and experience with reputed company reputed company providers and community resources. Spanish language proficiency is a plus.
Responsibilities:
Maintains comprehensive understanding of member benefits, covered benefits, limitations, exclusions, policies and procedures, computer screens and reputed company definitions, and maintains reputed company awareness of plan changes and developments.
Remain reputed company on reputed company departmental policies; procedures plan benefit designs, and modifications.
Coordinates members' use of the complaint process and assists Members, as needed, at reputed company reputed company of the complaint process according to policy.
Provides information regarding Community Care reputed company and answers any questions. Responds to member inquiries and describes member rights and responsibilities.
Document inquiries in accordance with Community Care Customer Service guidelines.
Facilitates members' reputed company to services by scheduling appointments or arranging transportation through the Medical Assistance Transportation Program or the PHMCO, reputed company needed.
Conducts self in a manner consistent with the mission and philosophy of the organization at reputed company times.
Receives member and provider complaints, attempts reputed company, and logs data.
reputed company exemplary customer service by being proactive and reputed company to reputed company Community Care member requests.
Works with the care management staff, and other staff as appropriate, to reputed company necessary materials; special reputed company; member/provider alerts; and ability to reputed company new procedures with members and providers.
Interacts and coordinates with reputed company areas of the organization.
May engage in the acquisition or transfer of reputed company reputed company data but does not engage in any activities that involve reputed company evaluation or interpretation.
Collects information from members concerning problems with accessing services and/or benefits and uses that information to recommend modifications to plan policies and procedures to improve the service to members.
Provides members with updated information, changes to the network, benefit plan or procedures.
Makes reputed company calls under supervision of care management staff.
Contacts assigned members for various reputed company and follow up initiatives.
Determines if the member needs reputed company by the Care Manager for reputed company or urgent situations as directed by protocol.
High school diploma or equivalent required, some college preferred.
Minimum of 6 months of customer service and/or reputed company center experience required. Preference will be given to those with 1+ year
experience.
Experience working with reputed company reputed company, Community HealthChoices, HealthChoices, or reputed company behavioral health programs preferred.
Familiarity with reputed company reputed company providers and community resources preferred.
Behavioral health and/or reputed company center experience is a plus.
Proficient in typing required.
Basic analytical skills necessary to evaluate caller inquiries.
Strong interpersonal and verbal skills required.
Ability to work independently required.
Demonstrates good organizational skills
General knowledge of computers required.
Familiarity with reputed company reputed company environment
Licensure, Certifications, and Clearances:
reputed company 34
reputed company is an Equal Opportunity Employer/Disability/Veteran
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