Client Service Representative
The Brien Center for Mental Health and Substance Abuse Services, Inc. · Pittsfield, MA · 1 mo ago
OTHRFull-time
Weekdays, 1st Shift – no nights, weekends, or holidays.
About the Role
The Client Services Representative (CSR) delivers exceptional customer service and seamless access to Brien Center services by handling centralized scheduling, intake triage and routing, insurance eligibility/authorizations, registration, and point-of-service financial communications.
Responsibilities
- Intake, Triage, and Referrals:
- Receive and triage all referrals; differentiate crisis, urgent, and routine needs; route/refer to appropriate Brien programs (e.g., Outpatient, Child/Adolescent, Transitional Care, Continuing Care, Court-Ordered services) or external providers when indicated.
- Enter and cross-check client identifiers in systems to identify duplicates, prior treatment, and therapist history; document findings and follow-up steps.
- Ensure client paperwork is uploaded and categorized accurately in the client’s chart.
- Perform insurance verification and eligibility/benefit checks at pre-registration, prior authorizations, plan exceptions, and complex benefits.
- Act as liaison with internal programs and external agencies to facilitate timely, appropriate referrals and smooth transitions of care.
- Scheduling, Eligibility & Authorizations:
- Schedule outpatient intakes, evaluations, and follow-up appointments using best-practice scripts; collect/verify demographics, guarantor, and payer information; run eligibility and interpret responses to determine next steps.
- Actively manage clinician, prescriber, provider, and nursing schedules to optimize access and fill rate; coordinate reschedules for missed/cancelled appointments.
- Obtain/verify prior authorizations from payers (or prompt clients to secure authorizations when required) and document outcomes per payer guidelines.
- Prepare charts/records for intake appointments and ensure pre-registration data are up-to-date and complete.
- Setup PT-1s for clients in need of transportation to attend appointments.
- Emergency/Urgent Workflows (As Assigned):
- Complete rapid/“quick” registrations to expedite care while maintaining accuracy in accordance with organizational processes.
- Collaborate with clinical teams to complete full registration post-triage/stabilization.
- Client Communication, Reminders & Waitlist Management:
- Send reminders (calls/letters/SMS per policy) for upcoming intakes; issue remedy/no-show letters and arrange rescheduling as appropriate.
- Maintain active waitlists; contact clients regularly to keep lists accurate and to offer earlier appointments when capacity opens.
- Documentation, Compliance & Special Populations:
- Complete work-queues to resolve missing data, holds, or authorization issues; collaborate with clinical, Billing/RCM, and Client Access teams to troubleshoot barriers and improve throughput.
- Participate in continuous improvement; meet/exceed productivity, quality, and client-satisfaction standards.
Requirements
- High School Diploma or equivalent.
- Minimum of one (1) year in a customer-service role; healthcare access/registration/scheduling preferred.
- Familiarity with general office and clerical support procedures.
Skills
- Outstanding oral and written communication; service-oriented professionalism in all interactions.
- Effective collaborator and problem-solver; facilitates conflict resolution and teamwork.
- Strong analytical/critical-thinking skills; prioritizes multiple tasks and implements solutions.
- Self-motivated with initiative; meets deadlines and drives tasks to completion.
- Proficiency with Microsoft 365 (Teams, Outlook, Word, Excel, PowerPoint); accurate, efficient typing.
- Ability to operate multi-line telephony/IVR systems and navigate EHR/PM systems for scheduling, registration, and documentation.
- Welcomes change and adapts to evolving workflows, systems, and operational needs.
- Ability to interact effectively with a diverse population and work collaboratively across programs.
- Manage competing priorities, maintain attention to detail/accuracy, and protect confidential information.
- Build and maintain collaborative relationships across programs and with external partners.