Care Coordinator, Behavioral Authorization Team - Evernorth Behavioral Health - Remote
The Cigna GroupAbout the role
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
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 assis
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