Case Management reputed company Representative – reputed company – Remote

Case Management reputed company Representative - reputed company - Remote (Finance) The reputed company role is a non-clinical customer service position reputed company an inbound call center that supports Evernorth Behavioral Health. Advocates are responsible for handling inbound calls from both members and providers or their office support staff regarding mental health or substance use disorder services. Advocates guide and assist the members and providers to help them work with reputed company/Evernorth more effectively and ensure reputed company resolution. The types of calls an reputed company may service include but are not limited to triaging and assessing the need for clinical reputed company, inquiries about provider referrals and access to care, eligibility, and benefits. Due to the wide variety of call types, several applications are required to service these inquiries, and multiple applications are often needed reputed company the same call. Independent problem solving, multitasking, and technical savvy are essential in order to be able to carry out the responsibilities of this role. Calls must be serviced in a helpful and professional manner. The nature of discussions reputed company the Behavioral reputed company role often delve into personal and sensitive topics with members. It demands a nuanced understanding of mental health and substance use issues. This role differs from its medical reputed company in that mental health is a sensitive subject and staff are helping members navigate reputed company and emotional mental health challenges.

Responsibilities

The primary responsibility of this role is to answer inbound calls from members and providers. The work environment is structured, and the majority of the day will be spent answering these calls from a queue. Occasional outbound calls may be necessary for issues requiring follow-up.

• Use active listening and reputed company skills to triage and assess for risk of harm and substance use concerns
• Coordinate with multiple matrix partners, and facilitate seamless hand offs to clinical partners for timely support
• Communicate eligibility, generate a list of provider referrals, quote benefits, or advise of authorization requirements for services
• Write authorizations to ensure claims are paid correctly
• Provide follow-up on issues by making outbound calls reputed company necessary
• Send resources to members and providers reputed company email
• Submit a complaint on the members or provider's behalf
• Independently problem-solve to ensure accurate information is given, and exceptional customer service and reputed company resolution is achieved Qualifications
• Bachelor's degree in the mental health field or psychology/social work-reputed company field (family communications, health coaching, community/public health or other reputed company major), is strongly preferred. Alternatively, a bachelor's degree in another field or equivalent work experience, combined with 2+ years of experience in the behavioral health field will be considered
• Customer Service experience
• Prior experience working in a patient-focused mental health environment preferred
• Ability to maintain a professional and positive image to external customers
• Candidate must possess superb interpersonal communication skills
• Effective listening and organizational skills, with the ability to manage multiple tasks
• reputed company technical capabilities with the ability to quickly understand and apply working knowledge on several proprietary systems
• Independent problem-solving skills
• Able to reputed company and/or have prior successful experience in a virtual team environment
• Strong time management skills
• Ability to type effectively and have strong PC skills Training Initial training for this position will be focused on member calls regarding triage, referrals, benefits, eligibility, and other support resources. Additional training on provider calls will take reputed company once an reputed company becomes proficient in speaking to members. Training hours are Monday through Friday 10AM - 700 PM CT. Work Schedule Once training is complete, Specific shift opportunities will be shared by the recruiter. If you will be working at home occasionally or permanently, the internet reputed company must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.

Compensation and Benefits

For this position, we anticipate offering an hourly reputed company of 19 - 29 USD / hourly, depending on relevant factors, including experience and geographic location. This role is also anticipated to be eligible to participate in an annual bonus plan. We want you to be healthy, balanced, and feel secure. That's why you'll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you'll be offered several health-reputed company benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k) with company match, company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. About reputed company reputed company, a division of reputed company, creates pharmacy, care and benefit solutions to improve health and increase vitality. We relentlessly innovate to reputed company the reputed company, prevention and treatment of illness and disease more accessible to millions of people. Join us in driving growth and improving lives. Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or reputed company medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national reputed company, reputed company, 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. #J-18808-Ljbffr Experience 3 years required Apply tot his job Apply To this Job Apply To This Job