Full Time

Analyst – Remote Jobs Houston

Posted 1 year ago
Texas
$23 - $24 per hour

Job Description

Job Type: Analyst from home
Location: Texas work from home
Company: Cigna

Coordination of Fast Cert provider authorizations for Proclaim, Facets, DG, and Care Allies books of business is the main responsibility of this position. In order to obtain authorization for higher levels of care (Inpatient, Residential, and Partial Hospitalization) for mental health and substance use disorder services on behalf of our clients, BAT Coordinators liaise with Individual and Facility Providers.

In addition to working closely with inpatient Care Coordinators, Care Managers, facilities, and specific providers to ensure proper access and usage of benefits, employees in this position are required to deliver great customer service.

Responsibilities:

  • Take provider calls for Cigna Behavioral Health and Care Allies and process them.
  • Validate HIPAA, confirm benefits and eligibility, make referrals, and finish the handoff and authorisation processes.
  • Utilize processes to successfully complete the authorization and/or handoff procedure and make nonclinical choices based on the Fast Cert Authorization criteria.
  • Take part in putting tasks into action that will improve the holistic approach to managing client cases, including preparing for aftercare follow-up and integrating services with matrix partners.
  • Process e-authorization request requests.
  • Prioritize follow-up requests for approval and liaise with the caller, the care manager, and the care management teams.
  • Investigate complex issues, such as eligibility and escalated instances.
  • Take part in designated workgroups and stretch assignment opportunities.
  • Attend team meetings and contribute.

Requirements:

  • Currently employed by Cigna Healthcare, Evernorth Health Services, or one of their affiliates.
  • Ability to satisfy metrics and follow IEX scheduling standards. Experienced and talented in working with several PC systems and programs. Effective at responding to queries while juggling many computer screens on different platforms.
  • Required: a bachelor’s degree and one year of experience.
  • Excellent interpersonal skills.
  • Strong computer and keyboarding abilities.
  • A bachelor’s degree and at least one year of experience in a related field.
  • Strong communication abilities with the ability to convey warmth and empathy.
  • Skills in organizing and effective listening.
  • Focus on the details.

Ability to satisfy metrics and follow IEX scheduling standards. Experienced and talented in working with several PC systems and programs. Effective at responding to queries while juggling many computer screens on different platforms.

exceptional customer service abilities.

If you intend to work from home on a regular basis or infrequently, you must have an internet connection from a cable broadband or fiber optic internet service provider with minimum download and upload speeds of 10 Mbps and 5 Mbps, respectively.
We anticipate paying between 23 and 34 USD per hour for this work, based on pertinent aspects like experience and location.
Additionally, it is anticipated that this position will qualify for the yearly bonus program.