Autism Care Demonstration Spec

**Profile** ----------- We offer remote work opportunities (AK, AR, AZ, CO, FL, HI, IA, ID, IL, KS, LA, MD, MN, MO, MT, NE, NV, NM, NC, ND, OK, OR, SC, SD, TN, TX, UT, VA/DC, WA, WI \& WY only). Our Department of Defense contract requires US citizenship and a favorably adjudicated DOD background investigation for this position. Veterans, Reservists, Guardsmen and military family members are encouraged to apply! **Job Summary** The ACD Specialist lends administrative support to beneficiaries, clinical staff, and providers in support of the Autism Care Demonstration (ACD) The ACD is a benefit program for eligible TRICARE beneficiaries who have an Autism Spectrum Disorder (ASD) diagnosis, and provides a set of services not available under basic TRICARE benefits. As a team member, the ACD Specialist will regularly collaborate and engage with families and other team members to support daily operational tasks and administrative duties assigned. Along with ensuring accuracy and efficiency, this role requires an ability to connect with families in an empathetic manner, attention to detail, and the ability to prioritize and organize the work. ACD Specialists partner with the Autism Services Navigators to identify barriers to care, finding providers, resources, and available services to support families. Duties are primarily performed in a virtual work environment. **Education \& Experience** **Required:** * High School Diploma or G.E.D. * Minimum 2 years’ experience in a health care customer service environment * Must be able to receive favorable interim and adjudicated final Department of Defense (DOD) background investigation * U.S. Citizenship **Preferred:** * Behavior Technician (BT), Medical Assistant (MA) or Certified Nursing Assistant (CNA)Knowledge of Medical Terminology * Prior experience in a Managed Care Organization (MCO) * Prior experience with TRICARE or VA health plans * Prior experience in a Customer Service call center **Key Responsibilities** * Make and receive calls to beneficiaries and their families to meet TRICARE and ACD requirements * Proactively evaluate and process assigned tasks within the medical management system * Schedule and manage meetings in Outlook and system calendaring functions * Manage requests for enrollment in the ACD in collaboration with clinical staff * Collaborate with ECHO team members to facilitate registration into the ECHO * Process requests for beneficiary and/or provider education within established timeframes * Handle incoming and outgoing phone calls, including an inbound phone queue regarding ACD program inquiries in an efficient and professional manner * Respond to daily email messages in an efficient and professional manner * Utilize standard program processes to respond to beneficiary, provider and staff requests * Support the leadership team by coordinating tasks and day\-to\-day activities, as requested * Efficiently identify and resolve issues or address bar