Care Coordinator, Behavioral Authorization Team Evernorth Behavioral Health Remote

Job description

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.
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: SeeYourself@cigna.com for support.

Do not email SeeYourself@cigna.com 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.

Required Skill Profession

Counselors, Social Workers, And Other Community And Social Service Specialists