Candidate Questionnaire (Mandatory – Please Answer While Applying)
Please include your responses to the questions below in your application:
Do you have a Bachelor’s Degree in Behavioral Health?
If yes, please specify your degree and specialization.
What kind of experience/exposure do you have in the behavioral health field?
(Mention role, responsibilities, and duration)
What kind of customer service experience do you have?
(Call handling, support roles, tools used, etc.)
If the opportunity were to present itself, would you be interested in a full-time position in the future?
Work Schedule
Training Hours: Monday – Friday, 8:30 AM – 5:00 PM CST (first ~18 weeks)
Post-Training Hours: 10:30 AM – 7:00 PM CST
Preference for candidates in PST, MST, and CST time zones (EST considered for strong candidates)
Position Overview The Claims & Provider Relations (PR) Advocate is responsible for handling inbound calls from members, providers, and their office staff regarding claims and provider-related inquiries. This role requires strong communication, multitasking, and problem-solving skills to ensure accurate resolutions and excellent customer service. This is a fully remote/work-from-home position. Candidates must have a reliable high-speed internet connection (not provided). Equipment will be supplied.
Key Responsibilities
Handle inbound calls related to:
Claim status and processing details
Claim reprocessing requests
Provider contract inquiries
Demographic updates
Make outbound calls as needed for follow-ups and issue resolution
Submit requests for claim adjustments and escalations
Send communications and resources via email
Collaborate with internal teams for complex issue resolution
Maintain professionalism and deliver first-call resolution whenever possible
Work across multiple systems and applications simultaneously
Required Skills
Strong customer service experience
Excellent communication and interpersonal skills
Ability to work effectively in a remote/virtual environment
Strong multitasking and organizational abilities
Proficiency with multiple systems and technical tools
Effective problem-solving skills
Strong time management and attention to detail
Good typing speed and solid PC skills
Training
Initial training will focus on Eligibility & Benefits calls (Behavioral Health Providers)
Additional training on Claims and Provider Relations will be provided based on business needs
Attendance expectations are strict, especially during the first 90 days.
Education Requirement
Bachelor’s Degree required
Applicant Notices & Disclaimers
For information on benefits, equal opportunity employment, and location-specific applicant notices, click here
At SPECTRAFORCE, we are committed to maintaining a workplace that ensures fair compensation and wage transparency in adherence with all applicable state and local laws. This position’s starting pay is: $ 21.00/hr.
