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ABA Clinical Care Coordinator

Company: Beacon Health Options
Location: Cypress
Posted on: May 24, 2020

Job Description:

Beacon Health OptionsJob Category: Clinical - Care MgmtReq #: ABACL02502Schedule: Full TimeLocation: CA - CypressAbout the Position:

Beacon Health Options is currently seeking a Clinical Care Coordinator to join our ABA team in Cypress, CA! Clinical Care Coordinators serve as central point of contact and communication for members, families, providers, insurers and members of the ABA team in the linkage of care for Applied Behavioral Analysis (ABA) services; addresses a broad spectrum of needs and/or concerns in a professional, friendly, and efficient manner; and 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: 5 years general working experience with 2 years customer service experience required
      • Knowledge, Skills, & Abilities:
        • Previous experience in a call center environment within the healthcare industry is highly preferred
        • Knowledge or ability to learn state and federal laws and regulations applicable to the call center is preferred
        • Strong analytical, problem solving and organizational skills required
        • Outstanding communication and interpersonal skills required


          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.



          PM16

          #GD PI120393585

Keywords: Beacon Health Options, Cypress , ABA Clinical Care Coordinator, Other , Cypress, California

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