UM Clinical Services Assistant, Autism - Northeast Region in Boston, MA at Beacon Health Options

Date Posted: 5/11/2018

Job Snapshot

Job Description

About the Position:

We are currently seeking a dynamic UM Clinical Services Assistant II, Autism (MBHP) to work at our office location in Boston, MA! The Clinical Care Coordinator, Autism serves as the central point of contact and communication for members, families, providers, insurers and members of the Autism team in linkage of care for Applied Behavioral Analysis (ABA) services for Autism Spectrum Disorders (ASD).  The Care Coordinator addresses a broad spectrum of needs and concerns in a professional, friendly, and efficient manner and performs a variety of customer services and unit-operations activities to assist clinical and administrative staff to meet operational and business performance metrics.

Position Responsibilities:

  • Assist members and providers with all levels of inquiries, problem solving, insurance information and general customer services
  • Staff all Call Center queues and adhere to performance requirements for call center response times, abandonment rates, and other productivity, schedule and quality standards or metrics that may be established
  • Receive, respond and resolve questions about accessing ABA services
  • Gather required clinical and financial information care for members and enter data into clinical care management system
  • Monitor data in clinical care management system, collaborating with provider community, escalate issues and concerns regarding care management to Senior Care Managers according to policies and procedures
  • Act as a liaison with parents and the health community to ensure continuum of care and support for members
  • Participates in corporate quality improvement functions
  • Assists with special projects and administrative tasks as assigned

Position Requirements:

  • Education:  High School Diploma or GED equivalent required
  • Relevant Work Experience:  2 years of Customer Service experience required and previous experience working in a call center environment within the healthcare industry highly preferred
  • Knowledge, Skills & Abilities:
    • Ability to learn state and federal laws and regulations applicable to call center
    • Ability to learn, master, and incorporate use of variety of clinical and administrative automated systems and software into daily work
    • Must have strong analytical, problem solving and organizational skills
    • General knowledge of Microsoft Office Suite: Outlook, Excel and Word
    • General knowledge of clinical documentation, preferably electronic health records/medical records systems
    • Ability to recognize and or anticipate the needs of customers and respond accordingly

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

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