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

Evernorth Health Services; Trenton (OH); Presencial; USD 33.062 - 49.593; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Medical benefits

401(k) with company match

Tuition reimbursement

18 days of paid time off per year

Descripción de la vacante

A health services company is seeking a Care Coordinator to manage Fast Cert authorizations for behavioral healthcare clients. Responsibilities include processing provider calls, ensuring proper authorization processes, and collaborating with various healthcare providers. Ideal candidates have a Bachelor's degree and strong customer service skills. The position offers a competitive hourly rate and comprehensive benefits starting from day one.

Formación

• At least 1 year of relevant work experience.
• Skilled in working with multiple PC systems and applications.
• Effective listening skills.

Responsabilidades

• Coordinate Fast Cert authorizations for behavioral healthcare clients.
• Process provider calls for Cigna Behavioral Health.
• Research complicated cases related to eligibility.

Conocimientos

Customer service

Interpersonal skills

Organizational skills

Detail oriented

Educación

Bachelors degree

Descripción del empleo

The primary purpose of the Care Coordinator for the Behavioral Authorization Team (BAT) is to coordinate Fast Cert authorizations for a variety of behavioral healthcare clients. 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 abuse 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.

Must be available to work Mon-Fri 10:30am-7:00pm CST/EST.

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 authorization and/or handoff process based on Fast Cert Authorization criteria.
• Participate in implementing tasks related to increasing 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

• Bachelors degree required.
• At least 1 year of relevant work experience.
• Experienced and skilled in working with multiple PC systems and applications, efficient in responding to requests while simultaneously maneuvering various computer screens among multiple systems while able to meet metrics and adhere to IEX scheduling requirements.
• Strong customer service skills.
• Strong interpersonal skills with capacity to project warmth and empathy.
• Effective listening & organizational skills.
• Detail oriented.
• Proven customer service skills.

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.

We want you to be healthy, balanced, and feel secure. That’s why you’ll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you’ll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k) with company match, company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, visit Life at Cigna Group.

About Evernorth Health Services

Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality. We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people. Join us in driving growth and improving lives.

Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.

If you require reasonable accommodation in completing the online application process, please email: [e-mail] for support. Do not email [e-mail] for an update on your application or to provide your resume as you will not receive a response.

The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.

Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.

Seniority Level

Entry level

Employment type

Full-time

Job function

Customer Service, Quality Assurance, and Administrative

Industries

Hospitals and Health Care and Insurance

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