Pennsylvania Licensed Customer Service Rep

Job Summary

Working remotely, the full-time Pennsylvania Licensed Customer Service Representative will manage inbound calls in a high-volume Behavioral Health triage call center, conducting initial crisis triage assessments and coordinating member access to services while maintaining a comprehensive understanding of member benefits and policies.

Key responsibilities

• Maintains comprehensive understanding of member benefits, policies, and procedures, and stays updated on plan changes
• Facilitates members' access to services, including scheduling appointments and coordinating transportation as needed
• Documents inquiries and provides exemplary customer service by responding proactively to member requests and complaints

Required qualifications

• High school diploma or equivalent required; some college preferred
• Minimum of 6 months of customer service and/or call center experience required, with preference for 1+ year
• Experience with Pennsylvania Medicaid and behavioral health programs preferred
• Familiarity with Pennsylvania healthcare providers and community resources preferred
• Proficient in typing and general knowledge of computers required