After Hours Behavioral Health Advocate

Job not on LinkedIn

🔥 13 hours ago

🇺🇸 United States – Remote

💵 $24 - $37 / hour

⏰ Full Time

🟢 Junior

🟡 Mid-level

🚫👨‍🎓 No degree required

👻 Ghost score 0%

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Logo of The Cigna Group

The Cigna Group

10,000+ employees

Founded 1982

🏥 Healthcare

⚕️ Healthcare Insurance

💊 Pharmaceuticals

Healthcare • Healthcare Insurance • Pharmaceuticals

The Cigna Group is a global health company committed to improving the health and vitality of its clients, customers, and patients. With its two divisions, Cigna Healthcare and Evernorth Health Services, the company focuses on enhancing quality of life through healthcare services and pharmacy benefits management. The Cigna Group is dedicated to ethical practices in healthcare and artificial intelligence, and strives to create positive change in the healthcare system. It also emphasizes its Environmental, Social, and Governance (ESG) responsibilities, aiming to impact health equity and foster innovation in healthcare delivery.

📋 Description

• Serve as the first point of contact for members and providers seeking behavioral health and substance use services • Answer inbound calls regarding behavioral health and substance use services • Assess caller needs and determine when clinical intervention or escalation is required • Assist with provider referrals, access to care, eligibility, benefits, and authorization requirements • Create and update authorizations to support accurate claims processing • Coordinate with clinical and operational partners to ensure timely member support • Complete follow-up outreach and issue resolution as needed • Provide resources and information to members and providers • Document interactions accurately while utilizing multiple systems simultaneously • Deliver professional, empathetic service and strive for first-call resolution

🎯 Requirements

• Bachelor's degree preferred; a degree in psychology, social work, public health, health coaching, family communications, or a related field is strongly preferred • Alternatively, a bachelor's degree in another field combined with 2+ years of behavioral health experience • Customer service experience in a fast-paced environment • Strong verbal communication, active listening, and problem-solving skills • Ability to manage multiple priorities while maintaining attention to detail • Strong technical aptitude and ability to navigate multiple systems simultaneously • Ability to work independently in a remote environment • Strong time-management and organizational skills • Experience in behavioral health, mental health services, or substance use treatment settings preferred • Experience supporting members or patients in a healthcare environment preferred • Experience in a contact center or customer service setting preferred • Knowledge of behavioral health benefits, provider networks, or care navigation preferred • Internet connection through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload when working at home

🏖️ Benefits

• Annual bonus plan eligibility • Medical, vision, and dental benefits starting on day one • Well-being and behavioral health programs • 401(k) • Company-paid life insurance • Tuition reimbursement • Minimum of 18 days of paid time off per year • Paid holidays • Leaves of absence • Cable broadband or fiber optic internet requirement for work at home, with at least 10Mbps download/5Mbps upload

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