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Member Service Representative in Cypress, CA at Beacon Health Options

Date Posted: 5/16/2019

Job Snapshot

Job Description

ABOUT THE POSITION

We are currently seeking a dynamic Member Services Representative to join our team at our office in Cypress, CA.  The Member Services Representative will be responsible for to answer subscriber and provider questions about benefits, eligibility, claims and certification.

Position Responsibilities:

  • Answer telephone calls identifying those needing case management services, those needing referral to routine outpatient services, and those needing authorization and/or verification.
  • Answer questions from providers, members, insurance carriers and/or Beacon regional offices.
  • Verifies benefits against contract requirements prior to case initiation.  Refers complicated cases to Case Managers. 
  • Service calls in a professional and courteous manner.

Position Requirements:

Education: Bachelors’ degree in Social Work, Psychology or equivalent in a related health care field required.

Relevant Work Experience:   1 year of customer service experience or experience in the behavioral health care field required

Knowledge, Skills & Abilities:

  • Strong customer service and written/verbal communication skills required
  • Ability to quickly summarize telephone conversations and accurately input to a computer
  • Ability to maintain a professional demeanor during a crisis situation

TO APPLY

Click below on “Apply for this Position” to create a profile and apply for the position

Beacon Health Strategies, LLC., a Beacon Health Options company, is proud to be an Equal Opportunity Employer as well as a Drug Free Work Environment. EOE/M/F/Veterans/Disabled

At Beacon Health Options, our candidate's data privacy is a top priority. Our recruiting team conducts all communications using official company email (@BeaconHealthOptions.com). Only candidates who have applied for an open position through our Careers page (careers.beaconhealthoptions.com) will be engaged in our interview process. Beacon conducts all interviews in person or over the phone. At no time during the recruiting process will any Beacon recruiter request any financial or personally identifiable information from you.

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