Role Description
The Care Access Coordinator Autism Resource Program (ARP) is a non-clinical support role that ensures efficient access to behavioral health services by combining administrative accuracy, responsive customer support, and effective coordination between members, providers, and clinical teams.
Administrative & Operational Support
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Process authorizations, enter and audit data, and manage documentation across multiple systems to ensure accuracy and workflow efficiency.
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Support clinical operations through correspondence (letters, faxes) and by maintaining timely, compliant records aligned with productivity standards.
Member & Provider Assistance
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Serve as a frontline resource by answering benefit, authorization, and referral questions while verifying member information in compliance with HIPAA.
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Deliver high-quality service through empathetic communication, basic screening, and escalation of high-risk or crisis situations to clinical staff.
Care Coordination & Case Management Support
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Triage cases and route them appropriately to clinical teams, ensuring accurate and timely information flow for care decisions.
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Collect and share key data (e.g., discharge details, provider updates) to support continuity of care and cross-functional collaboration.
Qualifications
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Bachelorβs degree in Social Work, Psychology or related healthcare field PLUS 1+ year experience in a health care, managed care, behavioral health, and/or customer service setting OR
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High school diploma PLUS 3+ yearsβ experience in a health care, managed care, behavioral health, and/or customer service setting.
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Strong computer proficiency, including the ability to work within multiple systems simultaneously and accurately enter or retrieve data.
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Ability to talk and type simultaneously while navigating systems during live member interactions.
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Ability to pass background check upon hire and throughout employment to include criminal felony & misdemeanor search, SSN validation/trace search (LEIE), education report (highest degree obtained), civil upper and lower search, 7-year employment report, federal criminal search, statewide criminal search, widescreen plus national criminal search, health care sanctions-state med (SAM), national sex offender registry, prohibited parties (OFAC) (terrorist watchlist), and a 10-Panel Drug Screen.
Preferred Qualifications
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Experience in autism services.
Competencies
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Self-motivated and the ability to assume a collaborative role in ensuring that all objectives are met.
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Ability to work independently to meet team objectives/goals.
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Professional demeanor in response to all situations regardless of the nature or circumstances of the situation.
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Able to manage multiple tasks in a fast-paced, changing environment.
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Ability to work within a collaborative, team-oriented environment.
Working Conditions
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High-speed internet service (cable or fiber optic) with minimum download Speed of 20 Mbps, Upload Speed of 5 Mbps, and Maximum Latency of 100 milliseconds (must be installed before starting) required.
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Frequent use of computer and phone systems.
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Must be able to constantly remain in a stationary, sitting position, communicate and exchange information with others, inspect information, perform repetitive motions with arms and fingers, interpret data, problem solve, make decisions, organize and plan, and maintain a positive and professional attitude in all situations.
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Work is performed from home with company-provided equipment. Sitting for long periods of time is expected and use of fingers and hands for typing is necessary.
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A quiet workspace with minimal background noise for calls.