Member Services Specialist

2 weeks ago

Robbinsville, United States AmeriHealth Caritas Full time
Job Description
Job Brief

- Local to Robbinsville, NJ
- Minimum 1 year Current/recent call center experience
- Tuesday - Friday 12 pm EST - 8:30 pm EST
- Saturday 10:30 am EST - 7:00 pm EST
- Will rotate holidays







Your career starts now. We are looking for the next generation of healthcare leaders.


At AmeriHealth Caritas, we are passionate about helping people get care, stay well, and build healthy communities. As one of the nation's leaders in healthcare 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 would like to hear from you.


Headquartered in Newtown Square, Pennsylvania, 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.


Summary:


Member Services Specialists are the first point of contact for youth, families/caregivers, and Providers accessing the System of Care. 


Responsibilities:



  • Answer all calls within a specific service level agreement
  • Complete the registration process
  • Explain procedures for accessing services to Members
  • Manage questions from treatment Providers
  • Determine the appropriate routing of the call and attempt to be the first point of resolution
  • Maintain consistent procedures
  • Provide outstanding customer service

Education/Experience:




  • Qualified candidates must be local to Robbinsville, New Jersey
  • Schedule: Tuesday through Friday, 12:00 p.m. to 8:30 p.m., and Saturday, 10:30 a.m. EST to 7:00 p.m. EST
  • Will rotate holidays
  • High School Diploma or equivalent required

  • Associate's Degree or higher preferred

    • With an Associate's Degree, a minimum of one (1) year of current/recent mental health and/or human services experience required; or equivalent background and experience that would translate well into this position
    • Without an Associate's Degree, a minimum of two (2) years of current/recent mental health and/or human services experience required; or equivalent background and experience that would translate well into this position


  • Minimum one (1) year of current/recent Behavioral Health experience preferred

  • Requires:

    • Current/recent Call Center experience with high call volume
    • Ability to respond sensitively to Member’s (youth, families/caregivers) and Provider's requests 
    • Ability to effectively communicate (listening, verbal, and written) with Members, and all internal and external customers
    • Working knowledge of MS Office applications 


  • Bilingual (Spanish) preferred

Diversity, Equity, and Inclusion


At AmeriHealth Caritas, everyone can feel valued, supported, and comfortable to be themselves. Our commitment to equity means that all associates have a fair opportunity to achieve their full potential. We put these principles into action every day by acting with integrity and respect. We stand together to speak out against injustice and to break down barriers to support a more inclusive and equitable workplace. Celebrating and embracing the diverse thoughts and perspectives that make up our workforce means our company is more vibrant, innovative, and better able to support the people and communities we serve.


We keep our associates happy so they can focus on keeping our members healthy.


Our Comprehensive Benefits Package


Flexible work solutions include remote options, hybrid work schedules, competitive pay, Paid Time Off (PTO) including holidays and volunteer events, health insurance coverage for you and your dependents on Day 1, 401(k), tuition reimbursement, and more.


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