CLINICAL SERVICES ASSISTANT II (Part-Time Remote)

Job Snapshot

Job ID: 52658

Location: Morrisville, NC

Posted: 8/31/2017

Category: Other

Experience: At least 3 year(s)

Education: See Requirements

Job Description

ABOUT THE POSITION

We are currently seeking a dynamic part-time Clinical Services Assistant II to join Central Night Service (CNS) Team. The Clinical Services Assistant II serves as the primary support mechanism for all non-clinical administrative tasks so that clinical staff may focus on clinical priorities and ensure that critical business needs are met.

Position Responsibilities:

  • Responsible for ambulatory follow up procedures to ensure that members have access to aftercare providers and receive the assistance they may need to reschedule appointments. This includes completing all protocols related to follow up activities and survey requirements such as placing follow up phone calls to facilities, members and providers confirming reviews, verifying appointment attendance.  This may also include discharge planning coordination calls and distribution of outreach letters.

  • Primary contact after customer service for  provider questions involving single case agreements, authorizations, claims processes and technical assistance

  • Determines the eligibility and benefit status of all participants. Builds reviews in the connect system as required by workflows. Communicates with clinical team manager when barriers are identified to completing assigned tasks.

  • Responsible for the daily monitoring of assigned queues and immediate reporting of variance that include but are not limited to CMS calls; connect queues, and individual queues when directed by the Clinical Manager/Supervisor.

  • Record member/provider inquiries into the Connect system and completes administrative functions as necessary. Conduct provider searches and record findings including provider status.

  • Assist clinical care managers to locate community resources for referral purposes

  • Primary contact for building and authorizing outpatient cases for members and providers through the registration process and the screening criteria tool.

  • Assist with reporting requirements when requested.

  • Other duties as assigned to allow Care Managers to focus on assessments and reviews.

    Position Requirements:

    Education: High School Diploma required plus three years of experience working in a healthcare environment with a high level of customer service.  AA degree and four years of experience preferred.

    Licensure:  None Required

    Relevant Work Experience:  At least three years of progressive experience in customer service or healthcare required.

    Knowledge, Skills & Abilities:

  • Basic Computer skill are required

  • Knowledge of Microsoft Office Products

    TO APPLY

    Click below on 'Apply for this Position' to create a profile and apply for the position.

    Beacon Health Options is proud to be an Equal Opportunity and Affirmative Action Employer as well as a Drug Free and Tobacco Free Work Environment. EOE/AA/M/F/Veterans/Disabled.

    $NFD

$REM

Job Requirements

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  • 5,000 employees nationally and in the U.K.,serving more than 48 million people.
  • My team at Beacon Health Options welcomed me immediately. Collaborating with so many talented individuals within the organization gives me a daily opportunity to see the great work we do in action. - Proposal Specialist, Norfolk, VA
  • Over 350 clients, including 225 employer clients, 45 Fortune 500 companies and partnerships with almost 100 health plans
  • What I like most about Beacon is that the people who work here are smart and dedicated to the company's mission. Beacon is at the forefront of changing mental healthcare delivery, so the work is exciting and meaningful. - Analyst, Boston, MA
  • Serving 8.5 million military personnel, federal civilians and their families.