Behavioral Health Customer Care Specialist

We are seeking a compassionate, customer-focused, and detail-oriented Behavioral Health Customer Care Specialist to join our healthcare support team. In this role, you will serve as the primary point of contact for members seeking behavioral and mental health services. You will assist with benefit inquiries, provider information, appointment coordination, and general healthcare support while delivering exceptional customer service with empathy and professionalism.

Key Responsibilities

• Respond to inbound customer inquiries regarding behavioral health benefits, coverage, and available services.
• Assist members in locating behavioral health providers and accessing appropriate care.
• Explain health plan benefits, eligibility, claims, and authorization processes.
• Accurately document customer interactions and update member information in the system.
• Resolve member concerns efficiently or escalate complex cases to the appropriate department.
• Ensure compliance with HIPAA and company policies regarding confidentiality and data privacy.
• Meet quality, productivity, and customer satisfaction performance standards.
• Provide a positive and supportive experience for members seeking behavioral healthcare assistance.
  
  

• College graduates are welcome to apply, with or without BPO experience.
• College undergraduates must have at least 6 months of BPO or customer service experience.
• Excellent English communication and interpersonal skills.
• Strong problem-solving, active listening, and customer service skills.
• Basic computer navigation and typing proficiency.
• Willing to work onsite and on a shifting schedule.
• Previous healthcare or behavioral health experience is an advantage but not required.
  
  

• Competitive salary and performance incentives
• Paid training
• Career growth and development opportunities
• HMO and comprehensive employee benefits
• Supportive and inclusive work environment