Must have reliable internet connection and quiet space with no distractions to work remotely The primary purpose of the Care Coordinator for the Behavioral Authorization Team (BAT) is to coordinate Fast Cert authorizations for a variety of behavioral healthcare clients. BAT Care 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 abuse 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. Must be available to work Mon-Fri 10:30am-7:00pm CST/EST Training will occur from Monday - Friday from 8:00am - 4:30pm CST for approximately 6-8 weeks before moving to constant shift Candidates must have reliable internet connection and a quiet work space with no distractions as position is 100% remote
RESPONSIBILITIES:
Answer and process provider calls for Client Behavioral Health and HC ICMS
Validate HIPAA, verify eligibility & benefits, provide referrals, and complete authorization and handoff processes.
Utilize workflows to efficiently and accurately make nonclinical decisions and complete authorization and/or handoff process based on Fast Cert Authorization criteria
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.
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.
Skills
.
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
Strong keyboarding and computer skills.
Education
. Bachelor s degree required, with a preferred minimum of one year of related work experience in Behavioral
Mindlance is an Equal Opportunity Employer and does not discriminate in employment on the basis of Minority/Gender/Disability/Religion/LGBTQI/Age/Veterans.
Numbers & Facts
Location
Philadelphia, PA (Remote)
Skills
Aftercareunmatched
Analysis Skillsunmatched
Behavioral Healthunmatched
Case Managementunmatched
Certification Evaluationunmatched
Computer Skillsunmatched
Customer Escalationsunmatched
Customer Support/Serviceunmatched
Customer/Consumer Behaviorunmatched
Detail Orientedunmatched
HIPAA (Health Insurance Portability and Accountability Act)unmatched
Healthcare Customer Serviceunmatched
Interpersonal Skillsunmatched
Metricsunmatched
Organizational Skillsunmatched
PC (Personal Computer) Systemsunmatched
Patient Careunmatched
Psychiatry and Mental Healthunmatched
Substance Abuse Treatmentunmatched
Work From Homeunmatched
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