Behavioral Health Intake & Access Specialist

CommunityCare, Inc.; Tulsa (OK); On-site; USD 32,000 - 52,000; Full time

Job summary

CommunityCare, Inc. is seeking a customer service representative to support behavioral health benefits. You will assist members in locating in-network services and processing prior authorizations in accordance with CMS and state regulations.

This position requires clear communication, the ability to multitask, and careful documentation of calls, referrals, and related notes. You may interact with providers, facilities, and members to resolve issues and ensure timely service.

Qualifications

• High school diploma or equivalent.
• Customer service, office management, and/or healthcare experience preferred but not required.

Responsibilities

• Provide telephone support for behavioral health benefits and direct customers to in-network services.
• Process prior authorizations according to CMS and state regulations.
• Send provider faxes and member letters; maintain documentation.
• Resolve behavioral health related situations from calls.
• Handle calls from disgruntled or upset members professionally.
• Perform other duties as required.

Skills

Customer service

Multitasking

Time management

Oral communication

Microsoft Office

Independent work

Confidential information handling

Education

High school diploma or equivalent

Job description

CommunityCare, Inc. is seeking a customer service representative to support behavioral health benefits. You will assist members in locating in-network services and processing prior authorizations in accordance with CMS and state regulations.

This position requires clear communication, the ability to multitask, and careful documentation of calls, referrals, and related notes. You may interact with providers, facilities, and members to resolve issues and ensure timely service.