Provider Engagement Representative

Who We Are

At Lucet, we are industry leaders in behavioral health, dedicated to helping people live healthy, balanced lives. Our mission - and our passion - is to improve the lives of the members we serve and be the ideal partner for our providers.

Lucet's unique combination of people and technology has proven to optimize access to behavioral health care providers and increase a health plan's ability to connect members to quality care. With the industry's largest network of care navigators and technology powered by more than six million assessments and more than 20 years of data, Lucet is the only solution proven to successfully identify and connect people across the entire acuity spectrum with the right care in less than five days on average, and often as little as one day.

Our members, providers and partners fully entrust us to deliver outstanding quality care through coordinated behavioral health services, employee assistance programs, organizational consulting, student well-being programs and more.

When you join Lucet, you become a valued member of our team, serving more than 15 million people across the U.S. Our employees have a passion for helping others - and it shows. From entry-level employees to senior leaders, we are inspired by our members, putting them first in everything we do. From day one, you'll see firsthand the impact you have on our members, knowing you can make a true difference in their lives.

Job Summary

The Provider Engagement Representative is an empathic, people focused member of the Lucet team that acts as the point of contact for all inbound provider calls.

Essential Functions

• Assist providers from intake to resolution including verification of demographic information, explanation of benefits, routing to appropriate to departments, benefit and claim data, billing and coding needs, and plan benefits.

• Assists with the resolution of routine claims status questions and provide information related to denials or claims submission. Triage to the appropriate staff, department, or third-party administrator when not routine.

• Distribution of educational material and procedures to network providers

• Interacts directly with providers or affiliates about concerns and processes

• Assist and coordinate with internal teams, through regular communication, to achieve identified milestones, and track progress to demonstrate completion

• Acts with agility and speed by working simultaneously between multiple systems to appropriately disseminate information quickly and accurately to callers

• Achieves performance guarantees with accountability and inspires others through teamwork and collaboration

• Creates excellent customer service experiences by communicating with respect and precision

• Works closely with partner teams to remain current on process changes, ensure quick resolution of cross-functional issues, and process improvement

• May be assigned other special projects as business needs require.

Job Qualifications

Required

• High School Diploma Required

• One year of experience in a customer service setting with demonstrated success in creating excellent experiences for internal and external customers and team members

Preferred

• Bilingual

• Working knowledge of health care

Key Competencies

• Have excellent communication, writing and typing skills

• Have the ability to relate to others and connect quickly

• Work well within a team environment

• Are a strong critical and creative thinker

• Have successfully demonstrated experience using multiple technological tools in your day-to-day work and can move between technologies easily

Working Conditions

• Work is performed indoors in a typical office environment, home office or on-site office

• Frequent use of telephone, computer, and other office related electronics

Salary and Other Compensation:

The starting pay rate that Lucet reasonably expects to pay for this position ranges from $18.80 - $20.50 per hourly, depending on circumstances including an applicant's skills, education/degrees, certifications, prior experience, market data, and other relevant factors.

This position is eligible for a bonus in accordance with the terms of Lucet's incentive plan based on both company performance and individual performance.

Benefits: The Company offers the following benefits for this position, subject to applicable eligibility requirements: Medical, Dental, Vision, 401(k) with competitive employer match, company paid life and disability insurance, company paid gym access, tuition reimbursement, parental leave, PTO (vacation, sick and volunteering), Remote Work.

This position will accept and review new applications and resumes no less than 5 business days after the original posting date and may remain open an extended period of time with no set end date based on the level of interest.