ABOUT THE POSITION
We are currently seeking a dynamic Customer Service, Engagement Specialist to join our team at our office in Boston, MA. The Customer Service Engagement Specialist will focus on inbound calls from providers and their patients regarding eligibility verification, healthcare file administration, and claims.
Field calls regarding Behavioral Health Services (BHS) and Substance Use Disorder services (SUD)
Answer inbound calls within contractual obligations
Answer questions regarding Beacon contracts within Massachusetts Behavioral Health Partnership and Be Healthy Partnership (BHS and SUD only)
Assist providers navigate MBHP’s website, Beacon portals, and registering care for outpatient services
Respond to and follow up with projects relating to claims payment and denials
Explain member eligibility requirements and contractual requirements to providers and billers
Work with MassHealth members (covered or insured individuals) under Beacon plans to find care and access BHS and SUD services
Assist callers navigating MBHP’s website, Beacon portals
1 years of experience in a Provider Relations or Healthcare Customer Service position, preferably in managed care
Ability to deal positively with a diverse group of members and providers
Experience with health coaching, motivational interviewing and health navigation preferred
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.
At Beacon Health Options, our candidate's data privacy is a top priority. Our recruiting team conducts all communications using official company email (@BeaconHealthOptions.com). Only candidates who have applied for an open position through our Careers page (careers.beaconhealthoptions.com) will be engaged in our interview process. Beacon conducts all interviews in person or over the phone. At no time during the recruiting process will any Beacon recruiter request any financial or personally identifiable information from you.