Member Services Specialist Part Time ( Saturday and Sunday 8:00am-4:00pm)

Responsibilities:

Member Services Specialists are integral to the operations of the triage team. They work closely and efficiently with members and their families, as well as providers and professional staff, to ensure coordination of care and services for all FPH/BC members.  

• Researching and responding promptly to member and provider telephonic/written inquiries.
• Assisting clinical care managers in processing member authorizations/registrations.
• Completes all forms, logs, and tracking mechanisms for QI reporting.
• Coordinates member care by assisting in arranging appointment times, transportation needs, follow-up and aftercare recommendations as appropriate.
• Assists in the registering of member care generation of notification letters.

Education/ Experience:

• Bachelor’s Degree.
• 1-3 years previous customer service experience and data entry required, preferably in a call center environment.
• Previous telephone experience preferred.
• Previous experience in an office setting and/or doctor’s office/ hospital (preferred).
• One year clinical experience preferred.
• Prior experience in behavioral health/managed care preferred.
• Ability to communicate well verbally and in writing with Members and all other internal and external customers.
• Data Entry Experience.
• Ability to use PC’s in a Windows based environment.
• Ability to respond sensitively to Member’s requests for services.