Care Coordinator, Behavioral Authorization Team – Evernorth Behavioral Health – Remote
Care Coordinator, Behavioral Authorization Team - Evernorth Behavioral Health - Remote (Finance)
The primary purpose of this position is to coordinate Fast Cert authorizations for providers for Proclaim, Facets, DG, and Care Allies' books of business. BAT Coordinators communicate with individual and facility providers regarding authorization requests for higher levels of care (Inpatient, Residential, and Partial Hospitalization) for mental health and substance use disorder services on behalf of our customers.
Employees in this role are expected to provide exceptional customer service, collaborating closely with inpatient Care Coordinators, Care Managers, facilities, and individual providers to ensure proper access and utilization of benefits.
Required Shift: M-F 10:30 am - 7:00 pm CST
RESPONSIBILITIES:
• Answer and process provider calls for Cigna Behavioral Health and Care Allies.
• Validate HIPAA, verify eligibility & benefits, provide referrals, and complete authorization and handoff processes.
• Utilize workflows to efficiently and accurately make nonclinical decisions and complete the authorization and/or handoff process based on Fast Cert Authorization criteria.
• Participate in implementing tasks related to increasing a holistic approach to management of customer cases, including engagement, aftercare follow-up planning, and service integration with matrix partners.
• Process electronic authorization requests.
• Triage follow-up requests for authorization and coordinate between caller and Care Management Teams.
• Research complicated cases, such as eligibility issues and escalated cases.
• Participate in workgroups and opportunities for stretch assignments.
• Attend and participate in team meetings.
QUALIFICATIONS:
• Bachelor's degree required.
• Ability to work M-F from 10:30 am to 7:00 pm CST.
• 1+ years of related work experience required.
• Experience in the Behavioral Health organization required.
• Proficiency with multiple PC systems and applications.
• Strong keyboarding skills.
• Efficient in multitasking across various computer screens and systems, meeting metrics and adhering to scheduling requirements.
• Strong customer service and interpersonal skills, with warmth and empathy.
• Effective listening and organizational skills.
• Detail-oriented.
For remote work, internet connection must be via cable broadband or fiber optic with speeds of at least 10 Mbps download and 5 Mbps upload.
Anticipated hourly rate: $24 - $36, depending on experience and location, with eligibility for an annual bonus plan.
We offer comprehensive benefits including medical, vision, dental, well-being programs, 401(k) with match, paid life insurance, tuition reimbursement, at least 18 days of paid time off, and holidays.
About Evernorth Health Services
Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care, and benefit solutions to improve health and vitality. Join us in driving growth and improving lives.
Qualified applicants will be considered regardless of race, color, age, disability, sex, sexual orientation, gender identity, veteran or military status, religion, national origin, or other protected characteristics.
For accommodations in the application process, email: [email protected]. Do not email for application updates or resumes.
The Cigna Group maintains a tobacco-free policy and may not hire tobacco/nicotine users in certain states unless they participate in a cessation program.
Applicants with criminal histories will be considered in accordance with applicable laws.
#J-18808-Ljbffr
Apply tot his job
Apply To this Job
The primary purpose of this position is to coordinate Fast Cert authorizations for providers for Proclaim, Facets, DG, and Care Allies' books of business. BAT Coordinators communicate with individual and facility providers regarding authorization requests for higher levels of care (Inpatient, Residential, and Partial Hospitalization) for mental health and substance use disorder services on behalf of our customers.
Employees in this role are expected to provide exceptional customer service, collaborating closely with inpatient Care Coordinators, Care Managers, facilities, and individual providers to ensure proper access and utilization of benefits.
Required Shift: M-F 10:30 am - 7:00 pm CST
RESPONSIBILITIES:
• Answer and process provider calls for Cigna Behavioral Health and Care Allies.
• Validate HIPAA, verify eligibility & benefits, provide referrals, and complete authorization and handoff processes.
• Utilize workflows to efficiently and accurately make nonclinical decisions and complete the authorization and/or handoff process based on Fast Cert Authorization criteria.
• Participate in implementing tasks related to increasing a holistic approach to management of customer cases, including engagement, aftercare follow-up planning, and service integration with matrix partners.
• Process electronic authorization requests.
• Triage follow-up requests for authorization and coordinate between caller and Care Management Teams.
• Research complicated cases, such as eligibility issues and escalated cases.
• Participate in workgroups and opportunities for stretch assignments.
• Attend and participate in team meetings.
QUALIFICATIONS:
• Bachelor's degree required.
• Ability to work M-F from 10:30 am to 7:00 pm CST.
• 1+ years of related work experience required.
• Experience in the Behavioral Health organization required.
• Proficiency with multiple PC systems and applications.
• Strong keyboarding skills.
• Efficient in multitasking across various computer screens and systems, meeting metrics and adhering to scheduling requirements.
• Strong customer service and interpersonal skills, with warmth and empathy.
• Effective listening and organizational skills.
• Detail-oriented.
For remote work, internet connection must be via cable broadband or fiber optic with speeds of at least 10 Mbps download and 5 Mbps upload.
Anticipated hourly rate: $24 - $36, depending on experience and location, with eligibility for an annual bonus plan.
We offer comprehensive benefits including medical, vision, dental, well-being programs, 401(k) with match, paid life insurance, tuition reimbursement, at least 18 days of paid time off, and holidays.
About Evernorth Health Services
Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care, and benefit solutions to improve health and vitality. Join us in driving growth and improving lives.
Qualified applicants will be considered regardless of race, color, age, disability, sex, sexual orientation, gender identity, veteran or military status, religion, national origin, or other protected characteristics.
For accommodations in the application process, email: [email protected]. Do not email for application updates or resumes.
The Cigna Group maintains a tobacco-free policy and may not hire tobacco/nicotine users in certain states unless they participate in a cessation program.
Applicants with criminal histories will be considered in accordance with applicable laws.
#J-18808-Ljbffr
Apply tot his job
Apply To this Job