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Behavioral Health Member Services Specialist (Monday-Friday 8:00am-4:30pm)

Company: Amerihealth
Location: Harrisburg
Posted on: September 12, 2021

Job Description:

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 Philadelphia, 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.

Responsibilities:

Member Services Professionals are responsible for the intake processes of PerformCare. They are the first point of contact for Members accessing the company.  Specifically, Member Services Professionals:

  • Answer incoming calls for all toll free numbers into PerformCare.
  • Complete the intake processes for Inpatient Levels of Care.
  • Conduct Bed Searches for Members approved for Inpatient Levels of Care.
  • Explain processes and procedures to Member and Providers.
  • Assist with Crisis Calls.
  • Provide resources to Members, including, but not limited to in network providers, tobacco cessation materials, Member Handbook, MATP,  and community resources.
  • Complete intake information for Complaints and Grievances.

Education/ Experience:

  • Bachelor’s Degree Human Services Required 
  • Experience with Customer Service or Call Center preferred 
  • 1 to 3 years Behavioral Health Experience preferred 

Other Skills:

  • Excellent written and verbal communication skills.
  • Ability to respond sensitively to member’s requests required.
  • Experience with PCs in a Windows based environment required.

 

 

Keywords: Amerihealth, Harrisburg , Behavioral Health Member Services Specialist (Monday-Friday 8:00am-4:30pm), Other , Harrisburg, Pennsylvania

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