Customer Service Representative - Remote - eviCore

Cigna; Bloomfield (CT); Remote; USD 60,000 - 80,000; Full time

Job summary

Ein innovatives Unternehmen sucht engagierte Teammitglieder für die Unterstützung im Kundenservice. In dieser Rolle helfen Sie, die Bedürfnisse der Anrufer zu verwalten und exzellenten Patienten-Provider-Service zu bieten. Sie werden in einem dynamischen, unterstützenden Umfeld arbeiten, in dem Ihre Kommunikationsfähigkeiten und Problemlösungsfähigkeiten geschätzt werden. Das Unternehmen bietet umfassende Vorteile, einschließlich Gesundheitsversorgung, bezahlter Freizeit und eine positive Unternehmenskultur, die auf Teamarbeit und persönlichem Wachstum basiert. Wenn Sie eine Leidenschaft für Kundenservice haben und einen positiven Einfluss auf das Gesundheitswesen ausüben möchten, ist dies die perfekte Gelegenheit für Sie.

Benefits

Gesundheitsversorgung

Zahnversicherung

Vision Versicherung

401(k) mit Unternehmensbeitrag

Lebensversicherung

Studiengebührenrückerstattung

Mindestens 18 Tage bezahlter Urlaub

Feiertage

Qualifications

• Erforderlich: High School Diplom oder gleichwertig.
• Bevorzugt: Erfahrung im Kundenservice.

Responsibilities

• Bearbeiten von 80-100 eingehenden Anrufen täglich.
• Verwaltung von Patientenakten gemäß HIPAA und PHI.

Skills

Kommunikationsfähigkeiten

Problemlösungsfähigkeiten

Kundenservice

Microsoft Outlook

Teamarbeit

Education

High School Diplom oder gleichwertig

Job description

After completing your application, ensure you finish the required assessment to proceed in the hiring process.

If you want to make a difference, help people, possess excellent communication skills, and can problem-solve calmly, eviCore Healthcare, a subsidiary of The Cigna Group, invites you to join our team. By joining our non-clinical team, you will assist in managing the benefit needs of inbound callers from start to finish, delivering excellent patient-provider care.

Responsibilities

1. Handle an average of 80-100 inbound calls daily from health plan clients and providers seeking pre-authorization.
2. Handle and verify patient records in compliance with HIPAA and PHI, maintaining confidentiality.
3. Manage multiple calls using various applications across multiple screens, accurately entering all patient, provider, and imaging center data.
4. Follow the formal script pathway with each caller, escalating unresolved issues to appropriate personnel or departments.
5. Maintain a client-focused approach, resolving customer inquiries and complaints efficiently with one-call resolution.
6. Attend 100% of the 8-week training, including live-call participation.

Qualifications

• High School diploma or equivalent required.
• Prior customer service experience preferred.
• Intermediate proficiency in Microsoft Outlook; strong written, organizational, and verbal communication skills.
• Excellent customer focus, with the ability to diffuse difficult callers constructively.
• Accountability and ownership in problem-solving.
• Positive, coachable attitude and a role model for peers.
• Team player who shares knowledge and supports colleagues.
• Flexible, open-minded, and adaptable to business needs.
• Self-confident with good judgment to do what is right and keep commitments.

Our Company and Benefits

eviCore Healthcare is committed to making a positive impact on healthcare and our employees. We offer various perks and benefits, including health, vision, dental, well-being, behavioral health programs, 401(k) with company match, paid life insurance, tuition reimbursement, at least 18 days of paid time off, and holidays. For more information, visit Life at Cigna Group.

Work Environment and Compensation

We are currently training in a remote environment. You will need reliable wired internet with at least 10Mbps download and 5Mbps upload speeds, possibly requiring an Ethernet cord. The hourly rate is anticipated to be $17.75 - $19, depending on experience and location, with potential eligibility for an annual bonus plan.

Additional Information

We support your health and balance, offering comprehensive benefits from day one, including health coverage and paid time off. We are an equal opportunity employer, considering all qualified applicants without discrimination. If needed, accommodations for the application process can be requested via email. Our policies include a tobacco-free environment and considerations for applicants with criminal histories, in accordance with applicable laws.