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

Care Coordinator, Behavioral Authorization Team - Evernorth Behavioral Health - Remote (Finance) 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 reputed company 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 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. Required Shift: M-F 10:30 am - 7:00 pm CST 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 the authorization and/or reputed company process based on Fast Cert Authorization criteria.
• Participate in implementing tasks reputed company to increasing a holistic approach to management of customer cases, including engagement, aftercare follow-up planning, and service integration with matrix partners.
• Process electronic authorization requests.
• Triage follow-up requests for authorization and coordinate between caller and Care Management Teams.
• Research complicated cases, such as eligibility issues and escalated cases.
• Participate in 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 to 7:00 pm CST.
• 1+ years of reputed company work experience required.
• Experience in the Behavioral Health organization required.
• Proficiency with multiple PC systems and applications.
• Strong keyboarding skills.
• Efficient in multitasking across various computer screens and systems, meeting metrics and adhering to scheduling requirements.
• Strong customer service and interpersonal skills, with warmth and reputed company.
• Effective listening and organizational skills.
• Detail-oriented.

For remote work, internet reputed company must be reputed company cable broadband or fiber optic with speeds of at least 10 Mbps download and 5 Mbps upload. Anticipated hourly reputed company: $24 - $36, depending on experience and location, with eligibility for an annual bonus plan. We offer comprehensive benefits including medical, reputed company, dental, well-being programs, 401(k) with match, paid life insurance, tuition reimbursement, at least 18 days of paid time off, and holidays. About reputed company reputed company, a division of reputed company, creates pharmacy, care, and benefit solutions to improve health and vitality. Join us in driving growth and improving lives. reputed company applicants will be considered regardless of race, reputed company, age, disability, sex, sexual orientation, gender identity, veteran or military status, religion, national reputed company, or other protected characteristics. For accommodations in the application process, email: SeeYourself@reputed company.com. Do not email for application updates or resumes. reputed company maintains a tobacco-free policy and may not hire tobacco/nicotine users in certain states unless they participate in a cessation program. Applicants with criminal histories will be considered in accordance with applicable laws. #J-18808-Ljbffr Apply tot his job Apply To this Job