Jobs

    Case Management Analyst - Bloomington, United States - Hire Talent

    Hire Talent
    Hire Talent Bloomington, United States

    3 weeks ago

    Default job background
    Description
    Behavioral Authorization Team Advocate

    Case Management Analyst
    Job Description and Role Summary


    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 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

    RESPONSIBILITIES:

    • Answer and process provider calls for *** Behavioral Health and Care Allies
    • 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.

    BACKGROUND:

    Candidate must have:

    • 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.
    • Bachelor's degree plus 1 year of experience required
    • Strong customer service skills.
    • Strong keyboarding and computer skills.
    Requirements


    • Bachelor's degree, with a minimum of one year of related work experience
    • 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
    #J-18808-Ljbffr
  • Aon

    Catastrophe Management Senior Analyst

    1 week ago

    Aon Bloomington, United States

    AON · Catastrophe Management Senior Analyst · Bloomington , · Minnesota · Apply Now · Aon is looking a Sr Analyst in Catastrophe Management, hybrid in Bloomington, MN or Chicago, IL · As part of the Catastrophe Management team, you will play an integral role providing analyt ...

  • Aon Hewitt

    Catastrophe Management Senior Analyst

    3 weeks ago

    Aon Hewitt Bloomington, United States

    Aon is looking a Sr Analyst in Catastrophe Management, hybrid in Bloomington, MN or Chicago, IL · As part of the Catastrophe Management team, you will play an integral role providing analytics support on risk assessment and risk Management consulting for Aon Reinsurance Solutions ...

  • Aon

    Catastrophe Management Senior Analyst

    1 week ago

    Aon Bloomington, United States

    Aon is looking a Sr Analyst in Catastrophe Management, hybrid in Bloomington, MN or Chicago, IL · As part of the Catastrophe Management team, you will play an integral role providing analytics support on risk assessment and risk Management consulting for Aon Reinsurance Solution ...

  • Aon Hewitt

    Catastrophe Management Senior Analyst

    2 weeks ago

    Aon Hewitt Bloomington, United States

    Aon is looking a Sr Analyst in Catastrophe Management, hybrid in Bloomington, MN or Chicago, ILAs part of the Catastrophe Management team, you will play an integral role providing analytics support on risk assessment and risk Management consulting for Aon Reinsurance Solutions cl ...

  • Bright Vision Technologies

    Pricing Actuary Analyst

    3 weeks ago

    Bright Vision Technologies Bloomington, United States

    Bright Vision Technologies has an immediate opportunity for **Pricing Actuary Analyst at Bloomington, IL, US with minimum of 5+ years life pricing experience working with Life and/or Annuity products REQUIRED.** · Job Title**:Pricing Actuary Analyst** · Job Location**:Bloomington ...

  • Bright Vision Technologies

    Life Pricing Actuary Analyst

    3 weeks ago

    Bright Vision Technologies Bloomington, United States

    Bright Vision Technologies has an immediate opportunity for **Life Pricing Actuary Analyst at Bloomington, IL, US with minimum of 5+ years life pricing experience working with Life and/or Annuity products REQUIRED.** · Job Title**:Life** **Pricing Actuary Analyst** · Job Location ...

  • COUNTRY Financial

    Financial Reporting Analyst

    3 weeks ago

    COUNTRY Financial Bloomington, United States

    Financial Reporting Analyst · Job Number: 240195 · Primary Location: US-IL-Bloomington · As a **Financial Reporting Analyst**, you'll expand your accounting knowledge, research new and current SSAP and GAAP guidance, and determine appropriate accounting treatment. You'll compile ...

  • COUNTRY Financial

    Corporate Compliance Analyst

    2 weeks ago

    COUNTRY Financial Bloomington, United States

    Corporate Compliance Analyst · Job Number: 240152 · Primary Location: US-IL-Bloomington · **This position offers a hybrid work schedule and is based out of our corporate offices in Bloomington, IL.** · **How does a Compliance Analyst make an impact?** · - Assists and supports the ...

  • Motion Industries (MOT)

    On-site Manager

    2 weeks ago

    Motion Industries (MOT) Bloomington, United States

    **SUMMARY**: · Under limited supervision, the On-Site Manager manages key supply functions and personnel that include but are not limited to inventory control, supplier/customer relationships, replenishment strategy and monitoring of product data. This position works more than 50 ...

  • GROWMARK, Inc.

    Energy Service Analyst

    2 weeks ago

    GROWMARK, Inc. Bloomington, United States

    Energy Service Analyst - GROWMARK, Inc. - Bloomington, IL - · **PURPOSE AND SUMMARY STATEMENT**Applications include Wireless Energy Business Solution (wEBS), Tank Monitors, Tank Spotter, Agvance modules, and others. · **ESSENTIAL JOB FUNCTIONS**- Provides leadership, training, an ...

  • Integrated Resources

    Case Management Associate Analyst

    3 weeks ago

    Integrated Resources Bloomington, United States

    Duties: · This is a FULL TIME Work At Home Position. · Candidate can be located in any time zone as long as they can commit to the CST hours for the role. 10:30-7 CST. · Top 3 skills needed in candidates are empathy, strong technology skills and multi tasking. · Candidates MU ...

  • Aon

    Catastrophe Management Senior Analyst

    3 weeks ago

    Aon Bloomington, United States Regular, Full or Part time

    Aon is looking a Sr Analyst in Catastrophe Management, hybrid in Bloomington, MN or Chicago, IL · As part of the Catastrophe Management team, you will play an integral role providing analytics support on risk assessment and risk Management consulting for Aon Reinsurance Solutions ...

  • AVA Counsulting

    Financial Analyst Ii

    1 day ago

    AVA Counsulting Bloomington, United States

    **Job: Financial Analyst: II (Intermediate)** · **Duration: 12 Months** **+ high possibility of extension** · **Location: Bloomington, IL(Hybrid)** · **Specific Skills Needed**: · **Intermediate Financial Analyst** · 2-5 years of relevant experience. Accounting degree preferred. ...

  • Illinois Farm Bureau

    Business Intelligence Analyst 1

    13 hours ago

    Illinois Farm Bureau Bloomington, United States

    As a **Business Intelligence Analyst 1** at Illinois Farm Bureau, you will be a forward-thinker within our Strategy & Innovation area. You will partner with business units across the organization to drive new strategies based on data, research, and trends to further efficiency an ...

  • GROWMARK. Inc.

    Financial Analyst

    1 day ago

    GROWMARK. Inc. Bloomington, United States

    Financial Analyst - GROWMARK. Inc. - Bloomington, IL - · **PURPOSE AND SUMMARY STATEMENT** · - Performs economic evaluations related to capital expenditures, acquisitions, joint ventures, analytical studies, and mergers. Coordinates with various departments to review, analyze and ...

  • Commerce Bank

    Portfolio Manager Associate

    5 days ago

    Commerce Bank Bloomington, United States

    **About Working at Commerce** · Building a career here is more than just steps on a ladder. It's about helping people find financial safety and success, helping businesses thrive, and making sure people and their money are taken care of. And our commitment doesn't stop there. Our ...

  • GROWMARK, Inc.

    HRis Analyst

    1 week ago

    GROWMARK, Inc. Bloomington, United States

    HRIS Analyst - GROWMARK, Inc. - Bloomington, IL - · **PURPOSE AND SUMMARY STATEMENT** · - Responsible for supporting and maintaining HRIS data, system configuration and facilitating and leading projects. Provides reporting and data analysis to users and management as needed. Prov ...

  • Koerner Distributor

    District Manager

    1 week ago

    Koerner Distributor Bloomington, United States

    **Title**: District Manager · **Department**: Sales · **Reports to**: Area Sales Manager / Directors / Divisional Managers · **General Summary**: Strategically manages the implementation of sales programs by supporting and directing Sales Representatives in their respective area. ...

  • US Internal Revenue Service

    Management and Program Assistant

    3 days ago

    US Internal Revenue Service Bloomington, United States

    **Duties**: · **WHAT IS THE TAXPAYER SERVICES**DIVISION?** · Vacancies will be filled in the following specialty areas: · **Taxpayer Services Customer Assistance, Relationship and Education - Correspondence Production Services Central** · The following are the duties of this posi ...

  • The Cigna Group

    Product Management Lead Analyst – Express Scripts

    3 weeks ago

    The Cigna Group Bloomington, United States OTHER

    The job profile for this position is Product Management Lead Analyst, which is a Band 3 Senior Contributor Career Track Role.Excited to grow your career? · We value our talented employees, and whenever possible strive to help one of our associates grow professionally before recru ...