Job Description: 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. Job Responsibilities: Processing electronic authorization requests 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. Responsible for validating HIPAA, verifying eligibility, quoting benefits, providing referrals, and completing authorization and handoff process. Handing cases off when they do not meet Fast Cert Authorization criteria Answering Care Allies Customer and Provider calls and processing Care Allies Fast Cert Authorizations Answering calls as they come in the queue. Researching complicated cases, i.e. eligibility, escalated cases, etc. Utilize workflows to efficiently and accurately make nonclinical decisions and complete authorization and/or handoff process. Integrating with medical when appropriate through referrals. Answering and processing provider calls for Cigna East and TruCare Job Requirements: Proven customer service skills Strong interpersonal skills with capacity to project warmth and empathy Detail oriented Effective listening & organizational skills Strong keyboarding and computer skills. Strong customer service skills. Qualification & Experience: Bachelor’s degree. plus 1 year of experience required Bachelor’s degree, with a minimum of one year of related work experience 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. 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. Job Details: Company: Express Scripts Vacancy Type: Full Time Job Location: Minneapolis, MN, US Application Deadline: N/A Apply Here vacanciesforyou.net
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