Intake Care Senior Representative

Immediate need for a talented Intake Care Senior Representative. This is a 06+months contract opportunity with long-term potential and is located in US (Remote). Please review the job description below and contact me ASAP if you are interested.

Job ID: 25-76595

Pay Range: $19 - $21/hour.  Employee benefits include, but are not limited to, health insurance (medical, dental, vision), 401(k) plan, and paid sick leave (depending on work location).

Key Responsibilities:

• The primary responsibility of the Advocate role is answering calls from customers. The majority of the day will be answering inbound calls from customers looking to access, understand, or utilize services.
• Within a call an advocate may:
• Register participants in the intake system and opens case files
• Educate participants on their benefits based upon individual plan design and other clinical or non-clinical resources available
• Conduct an intake as needed to assess for presenting concern and risk of harm or substance abuse concerns
•  Provide participants with names and phone numbers of nearest providers
• Multi-task by maneuvering through various computer programs and screens
• As needed an advocate may also:
• Write authorizations to ensure claims are paid correctly.
• Provide follow-up calls to participants to ensure correct information is given
• Send eligibility requests to determine effective coverage dates or to verify correct benefits are loaded
• Send complaints to initiate grievance process for customers
• On all calls an advocate is responsible for:
• Providing high quality customer service as identified by Advocacy department quality standards
• Using independent problem solving skills to make sound decisions in assessing the needs of the callers by giving accurate information and providing first call resolution
• Understanding the business needs of the role, while balancing the needs of the customer
• Taking an educational approach to ensure callers are able to understand the complexities of accessing care
• Demonstrating  a complete awareness and understanding of the responsibilities and workflows of the various departments within Client

Key Requirements and Technology Experience: 

• Key Skills; Behavioral health environment experience
• Call center experience
• Bachelor’s degree in psychology
• Previous customer service experience or related position
• Superb interpersonal communication
• Effective listening and organizational skills
• Ability to manage multiple tasks, setting priorities where needed
• Independently problem solve, with ability to function without constant supervision
• A demonstrated ability to type effectively; with strong PC skills/word processing experience and ability to learn new computer software systems
• Ability to learn new workflows and tasks quickly
• Ability to work  independently and be a team player
• Previous call center environment experience preferred
• Bachelor's degree in mental health field or psychology/social work related field required (can also include:  family communications, health coaching, community/public health or other related major). 
• NOTE: This is a non-clinical role and does not require a license

Our client is a leading healthcare Industry and we are currently interviewing to fill this and other similar contract positions. If you are interested in this position, please apply online for immediate consideration.

Pyramid Consulting, Inc. provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

By applying to our jobs you agree to receive calls, AI-generated calls, text messages, or emails from Pyramid Consulting, Inc. and its affiliates, and contracted partners. Frequency varies for text messages. Message and data rates may apply. Carriers are not liable for delayed or undelivered messages. You can reply STOP to cancel and HELP for help. You can access our privacy policy