Care Coordinator, Behavioral Authorization Team - Evernorth Behavioral Health - Remote

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 1030am-7 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 meaningful engagement, aftercare follow-up planning, and integration of services with matrix partners.


* Process electronic authorization requests


* Triage follow-up requests for authorization and coordinate between the caller and Care Manager/Care Management Teams.


* Research complicated cases, i.e., eligibility, escalated cases, etc.


* Participate in assigned 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-7:00 pm CST required


* 1+ years of related work experience required


* Experience working in the Behavioral Health organization required


* Solid experience working with multiple PC systems and applications


* Solid keyboarding skills


* Efficient in responding to requests while simultaneously maneuvering within various computer screens and multiple systems, while being able to meet metrics and adhere to IEX scheduling requirements.


* Strong customer service skills.


* Strong interpersonal skills with the capacity to project warmth and empathy


* Effective listening & organizational skills


* Detail-oriented

If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.

For this position, we anticipate offering an hourly rate of 24 - 36 USD / hourly, depending on relevant factors, including experience and geographic location.

This role is also anticipated to be eligible to participate in an annual bonus plan.

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