Care Coordinator, Behavioral Authorization Team - Evernorth Behavioral Heal at The Cigna Group

, , United States -

Full Time

Start Date

Immediate

Expiry Date

15 Feb, 26

Salary

36.0

Posted On

17 Nov, 25

Experience

0 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Customer Service, Interpersonal Skills, Effective Listening, Organizational Skills, Detail Oriented, Case Management, Authorization Processing, HIPAA Compliance, Eligibility Verification, Problem Solving, Collaboration, Research Skills, Time Management, Communication Skills, Technical Proficiency, Empathy

Industry

Hospitals and Health Care

Description

The job profile for this position is Case Management Analyst, which is a Band 2 Senior Contributor Career Track Role. Excited to grow your career? We value our talented employees, and whenever possible strive to help one of our associates grow professionally before recruiting new talent to our open positions. If you think the open position you see is right for you, we encourage you to apply! Our people make all the difference in our success. 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. 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. Please note that you must meet our posting guidelines to be eligible for consideration. Policy can be reviewed at this link. Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.

Responsibilities

The Care Coordinator will coordinate Fast Cert authorizations for behavioral healthcare clients and communicate with providers regarding authorization requests. They are expected to provide exceptional customer service and collaborate with various stakeholders to ensure proper access to benefits.