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ABA Care Coordinator - ABA Services in Grand Rapids, MI at Beacon Health Options

Date Posted: 4/15/2019

Job Snapshot

Job Description

About the Position:

Beacon Health Options is currently seeking a dynamic ABA Care Coordinator to join our Autism team in Grand Rapids, MI! The ABA Care Coordinators serves as central point of contact and communication for members, families, providers, insurers and members of the Autism team in the linkage of care for Applied Behavioral Analysis (ABA) services for Autism Spectrum Disorder (ASD).  The incumbent addresses a broad spectrum of needs and/or concerns in a professional, friendly, and efficient manner as well as performs a variety of customer service and unit-operations activities to assist clinical and administrative staff to meet operational and business performance metrics.

Position Responsibilities:

  • Assist members and providers with all levels of inquiries, problem solving, insurance information and general customer service, which could include:
    • Customer material requests and member registration
    • Benefit and Eligibility information
    • Physician assignments
    • Authorization for treatment
    • Billing and Payment issues
    • Explanation of Benefits (EOB)/Explanation of Payments (EOP)
    • Clinical Care Management system usage
  • Staff all Call Center queues and adhere to performance requirements for call center response times, abandonment rates, and other productivity, schedule, and quality standards or metrics that may be established.
  • Receive, respond and resolve questions about accessing ABA services
  • Analyze data and identify appropriate level of care to expedite linkage to care to ABA services. 
  • Gather required clinical and financial information care for members and enter data into clinical care management system.
  • Monitor the data in the clinical care management system, collaborating with provider community; escalate issues and concerns regarding care management to Senior Care Managers according to policies and procedures
  • Act as a liaison with parents and the health community to ensure continuum of care and support for members
  • Participates in corporate quality improvement functions. 
  • Assists with special projects and administrative tasks as assigned. 
  • Performs other duties as required

Position Requirements:

  • Education: High School diploma or GED equivalent required
  • Relevant Work Experience: 2 years customer service experience required
  • Knowledge, Skills, & Abilities:
    • Previous experience in an call center environment within the healthcare industry, highly preferred
    • Knowledge or ability to learn state and federal laws and regulations applicable to a call center preferred
    • Outstanding interpersonal skills to frequently interact with members, families, providers and insurance representatives required
    • Knowledge of Microsoft Office Suite: Outlook, Excel, and Word required
    • Knowledge of clinical documentation, preferably electronic health records/medical records systems preferred
    • Ability to learn, master, and incorporate use of variety of clinical and administrative automated systems and software into daily work required
    • Ability to multitask with excellent organization skill required

To Apply:

Click below on “Apply for this Position” to create a profile and apply for the position

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.

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