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

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 reputed company new talent to our reputed company positions. If you think the reputed company position you see is right for you, we encourage you to apply! Our people reputed company reputed company the difference in our reputed company. The primary purpose of the Care Coordinator for the Behavioral Authorization Team (BAT) is to coordinate Fast Cert authorizations for a variety of behavioral reputed company clients. BAT Coordinators communicate with Individual and Facility Providers regarding authorization requests for higher reputed company 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 reputed company exceptional customer service, collaborating closely with inpatient Care Coordinators, Care Managers, facilities and individual providers to ensure proper reputed company and utilization of benefits. Must be available to work Mon-Fri 10:30am-7:00pm CST/EST. RESPONSIBILITIES:

• Answer and process provider calls for reputed company Behavioral Health and Care Allies
• Validate HIPAA, verify eligibility & benefits, reputed company referrals, and complete authorization and reputed company processes.
• Utilize workflows to reputed company and accurately reputed company nonclinical reputed company and complete authorization and/or reputed company process based on Fast Cert Authorization criteria
• Participate in implementing tasks reputed company 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
• reputed company 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 reputed company to meet metrics and adhere to IEX scheduling requirements.
• Strong customer service skills.
• Strong interpersonal skills with reputed company to project warmth and reputed company
• Effective listening & organizational skills
• Detail oriented
• Proven customer service skills

If you will be working at home occasionally or permanently, the internet reputed company 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 reputed company 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 reputed company of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you’ll be offered several health-reputed company benefits including medical, reputed company, 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 reputed company. reputed company applicants will be considered without regard to race, reputed company, age, disability, sex, childbirth (including pregnancy) or reputed company medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national reputed company, reputed company, 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. reputed company applicants with criminal histories will be considered for employment in a manner consistent with reputed company federal, state and local ordinances. Apply tot his job Apply To this Job