Pacific Clinics, Inc.
Customer Services Specialist I
Pacific Clinics, Inc., Los Angeles, California, United States, 90079
Pacific Clinics is California's largest community-based nonprofit provider of behavioral and mental health services and support. Our team of more than 2,000 employees speaks 22 languages. They are dedicated to offering hope and unlocking the full potential of individuals and families through culturally responsive, trauma-informed, research-based services for individuals and families from birth to older adults.Who We ServePacific Clinics serves children, transitional-age youth, families, adults, and older adults. We offer a full range of mental and behavioral health services, foster care and social services, housing, continuing adult education and early childhood education programs to Medi-Cal-eligible individuals and families throughout various counties in California.Compensation We OfferThe initial compensation for this position ranges from $22.31 - $27.44 per hour.Salary is dependent on commensurate experience above the minimum qualifications for the role and internal equity considerations.The salary may also vary if you reside in a different location than the location posted.8% License Differential for LMFT, LCSW, LPCC, PsyD, and select Peer Certifications.*7.5% Bilingual Differential for qualified positions*must meet company policy eligibility requirements.
Benefits We OfferBenefits eligibility starts on day ONE!We Offer Comprehensive Medical, Dental & Vision benefits, Voluntary Life Insurance, Flex Spending, Health Savings Account, EAP, and more!Employer Paid Long-Term Disability & Basic Life Insurance401K Employer Match up to 3.5%Competitive Time Off Plans (may vary by employment status)Employee engagement and advocacy opportunities to advance our justice, equity, diversity, and inclusion agenda across our Agency and throughout the communities we serve.Work Schedule:
Mon-Fri, 8:30-5pmJOB SUMMARYWorking within the vision, mission and philosophy of the agency, the Customer Service Specialist is responsible for processing and completing internal and external referrals, acting as the primary liaison between external agencies and internal agency departments, and completing all required administrative paperwork and data entry for customer records. Coordinates all activities related to initial intake, level of care screening, insurance verification, and payment coordination. Regularly interfaces face-to-face and by telephone with customers as well as with all agency and County electronic systems connected to client care and billing.RESPONSIBILITIES AND DUTIESAnswers phones and obtains all information related to initial request for services, referral source, basic demographics, and insurance/payment responsibility.Completes comprehensive phone screens and utilizes comprehensive knowledge of the Agency’s continuum of care to make initial referral recommendations.Ensures that non-English language needs are met to facilitate effective access.Creates electronic records and/or documents in other logs or databases as indicated.Triages services to other community resources if applicable.Maintains all tracking systems.For foster youth, obtains qualifying minute order and other relevant court documents as needed.Verifies/clarifies insurance eligibility, co-pays, deductibles and enters into electronic record.Coordinates with program manager, family, and billing regarding payment issues.Ensures that all initial and ongoing insurance authorization information is recorded in the clinical record.Liaison between all internal program departments regarding referral coordination.Routinely maintains, verifies, and confirms data entry accuracy and consistency between internal electronic records and all County systems.Participates as a member of the team in QA/QI activities.Prepares a variety of reports as requested.Works closely with Program Manager to continually build, improve, and refine Customer Services infrastructure.Maintains expertise in agency-wide procedures.Serves as back-up to any HIM and other Customer Services staff absences.Other duties as assigned to support specific agency/business needs and/or enhancement of operations.JOB SPECIFIC COMPETENCIESAdvanced skills in Microsoft Office (e.g., Word, Excel, Project Management, etc.).Documents clearly and accurately.Encourages customer focus.Time management.QUALIFICATIONSTo perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.EDUCATIONHigh school diploma or GED Required.High School diploma or GED with three (3) years related experience required or,AA degree with at least one (1) year of related experience preferred or,Bachelor of Arts/Bachelor of Science (B.A./B.S.) in Psychology, Social Work, Education, Developmental Disability or related field preferred.REQUIRED EXPERIENCECommunication and clinical skills relevant to intake services including customer screening and triage, understanding of legal/ethical issues, and risk management.At least 1 year experience in community mental health, behavioral health, developmental disabilities, or social services setting.PREFERRED QUALIFICATIONSBachelor of Arts/Bachelor of Science (B.A./B.S.) in Psychology, Social Work, Education, Developmental Disabilities or related field preferred.Two (2) years of experience in medical, behavioral health, mental health, developmental disabilities, or social services field.Equal Opportunity EmployerWe will consider for employment qualified applicants with criminal histories in a manner consistent with ordinance 184652 Sec.189.04 (a) and San Francisco Police Code, Article 49. Section 4905.
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Benefits We OfferBenefits eligibility starts on day ONE!We Offer Comprehensive Medical, Dental & Vision benefits, Voluntary Life Insurance, Flex Spending, Health Savings Account, EAP, and more!Employer Paid Long-Term Disability & Basic Life Insurance401K Employer Match up to 3.5%Competitive Time Off Plans (may vary by employment status)Employee engagement and advocacy opportunities to advance our justice, equity, diversity, and inclusion agenda across our Agency and throughout the communities we serve.Work Schedule:
Mon-Fri, 8:30-5pmJOB SUMMARYWorking within the vision, mission and philosophy of the agency, the Customer Service Specialist is responsible for processing and completing internal and external referrals, acting as the primary liaison between external agencies and internal agency departments, and completing all required administrative paperwork and data entry for customer records. Coordinates all activities related to initial intake, level of care screening, insurance verification, and payment coordination. Regularly interfaces face-to-face and by telephone with customers as well as with all agency and County electronic systems connected to client care and billing.RESPONSIBILITIES AND DUTIESAnswers phones and obtains all information related to initial request for services, referral source, basic demographics, and insurance/payment responsibility.Completes comprehensive phone screens and utilizes comprehensive knowledge of the Agency’s continuum of care to make initial referral recommendations.Ensures that non-English language needs are met to facilitate effective access.Creates electronic records and/or documents in other logs or databases as indicated.Triages services to other community resources if applicable.Maintains all tracking systems.For foster youth, obtains qualifying minute order and other relevant court documents as needed.Verifies/clarifies insurance eligibility, co-pays, deductibles and enters into electronic record.Coordinates with program manager, family, and billing regarding payment issues.Ensures that all initial and ongoing insurance authorization information is recorded in the clinical record.Liaison between all internal program departments regarding referral coordination.Routinely maintains, verifies, and confirms data entry accuracy and consistency between internal electronic records and all County systems.Participates as a member of the team in QA/QI activities.Prepares a variety of reports as requested.Works closely with Program Manager to continually build, improve, and refine Customer Services infrastructure.Maintains expertise in agency-wide procedures.Serves as back-up to any HIM and other Customer Services staff absences.Other duties as assigned to support specific agency/business needs and/or enhancement of operations.JOB SPECIFIC COMPETENCIESAdvanced skills in Microsoft Office (e.g., Word, Excel, Project Management, etc.).Documents clearly and accurately.Encourages customer focus.Time management.QUALIFICATIONSTo perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.EDUCATIONHigh school diploma or GED Required.High School diploma or GED with three (3) years related experience required or,AA degree with at least one (1) year of related experience preferred or,Bachelor of Arts/Bachelor of Science (B.A./B.S.) in Psychology, Social Work, Education, Developmental Disability or related field preferred.REQUIRED EXPERIENCECommunication and clinical skills relevant to intake services including customer screening and triage, understanding of legal/ethical issues, and risk management.At least 1 year experience in community mental health, behavioral health, developmental disabilities, or social services setting.PREFERRED QUALIFICATIONSBachelor of Arts/Bachelor of Science (B.A./B.S.) in Psychology, Social Work, Education, Developmental Disabilities or related field preferred.Two (2) years of experience in medical, behavioral health, mental health, developmental disabilities, or social services field.Equal Opportunity EmployerWe will consider for employment qualified applicants with criminal histories in a manner consistent with ordinance 184652 Sec.189.04 (a) and San Francisco Police Code, Article 49. Section 4905.
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