Behavioral Health Intake & Authorization Specialist

CommunityCare HMO Inc.; Tulsa (OK); On-site; USD 32,000 - 42,000; Full time

Job summary

CommunityCare HMO Inc. is seeking a customer service professional to support behavioral health benefits. The role directs members to in-network services, processes prior authorizations, and handles provider faxes and member letters.

The position emphasizes clear communication, accurate documentation, and adherence to CMS and state regulations. You will collaborate with clinical and administrative teams to resolve behavioral health related situations that arise from calls.

Qualifications

• High school diploma or equivalent.
• Customer service, office management, and/or healthcare experience preferred but not required.
• Background check per Health Care Sanctions requirements.

Responsibilities

• Provide telephone-based customer service support for behavioral health benefits from 8AM to 5PM.
• Resolve inquiries about referrals, authorizations, eligibility, and network status.
• Transfer clinical calls to appropriate staff when needed.
• Document certifications, progress notes, and follow-ups as required.
• Assist with claims corrections and provider/member questions.
• Handle disgruntled members professionally.
• Perform other duties as required.

Skills

Multitasking

Time management

Strong oral communication

Independent work

Confidential information handling

Health Care Sanctions background check

Punctuation and grammar

Education

High School diploma or equivalent

Tools

Microsoft Office

Job description

CommunityCare HMO Inc. is seeking a customer service professional to support behavioral health benefits. The role directs members to in-network services, processes prior authorizations, and handles provider faxes and member letters.

The position emphasizes clear communication, accurate documentation, and adherence to CMS and state regulations. You will collaborate with clinical and administrative teams to resolve behavioral health related situations that arise from calls.