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Care Senior Associate, Bloomington, Minnesota

Created07/22/2021
Reference21013277
CategoryOperations
Job typeFull Time
CountryUnited States
StateMinnesota
CityBloomington
SalaryCompetitive
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.

RESPONSIBILITIES:
  • Responsible for validating HIPAA, verifying eligibility, quoting benefits, providing referrals, and completing authorization and handoff process.
  • Utilize workflows to efficiently and accurately make nonclinical decisions and complete authorization and/or handoff process.
  • 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.
  • Answering calls as they come in the queue.
  • Handing cases off when they do not meet Fast Cert Authorization criteria
  • Processing electronic auth requests
  • Answering and processing provider calls for Cigna East and TruCare
  • Answering Care Allies Customer and Provider calls and processing Care Allies Fast Cert Authorizations
  • Integrating with medical when appropriate through referrals.
  • Researching complicated cases, i.e. eligibility, escalated cases,etc
  • Participating in assigned work groups and opportunities for stretch assignments
  • Attending and participating in team meetings.


BACKGROUND:

Candidate must have:
  • Experience and skills working with multiple PC systems and applications , efficiency in responding to requests while simultaneously maneuvering various computer screens among multiple systems while able to meet metrics and adhere to IEX scheduling requirements.
  • Bachelor's degree. plus 1 year of experience required
  • Strong customer service skills.
  • Strong keyboarding and computer skills.
  • Hours are 10:30AM-7:00PM


Requirements
  • Bachelor's degree, with a minimum of one year of related work experience
  • Strong interpersonal skills with capacity to project warmth and empathy
  • Effective listening & organizational skills
  • Detail oriented
  • 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.
  • Proven customer service skills


About Cigna

Cigna Corporation exists to improve lives. We are a global health service company dedicated to improving the health, well-being and peace of mind of those we serve. Together, with colleagues around the world, we aspire to transform health services, making them more affordable and accessible to millions. Through our unmatched expertise, bold action, fresh ideas and an unwavering commitment to patient-centered care, we are a force of health services innovation. When you work with us, or one of our subsidiaries, you'll enjoy meaningful career experiences that enrich people's lives. What difference will you make?

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.
Employer460 CIGNA Behavioral Health, Inc.

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