Customer Service Representative - Remote - eviCore

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

Job summary

eviCore Healthcare, a subsidiary of The Cigna Group, is seeking a Customer Service Representative to join their remote non-clinical team. This role involves managing the benefit needs of inbound callers, ensuring excellent patient-provider care through effective communication and problem-solving. Successful candidates will enjoy competitive benefits and a supportive work environment.

Benefits

Health, vision, and dental coverage

401(k) with company match

Tuition reimbursement

Paid time off and holidays

Qualifications

• High School diploma or equivalent required.
• Prior customer service experience preferred.
• Excellent customer focus and problem-solving skills.

Responsibilities

• Handle 80-100 inbound calls daily from clients and providers.
• Manage patient records under HIPAA and PHI guidelines.
• Resolve customer inquiries with one-call resolution.

Skills

Communication Skills

Problem-Solving

Customer Focus

Team Player

Education

High School diploma or equivalent

Tools

Microsoft Outlook

Job description

Customer Service Representative - Remote - eviCore (Finance)

After completing the application, be sure to complete the required assessment to continue in the hiring process.

If you want to make a difference and help people, have excellent communication skills, and can problem-solve calmly, eviCore Healthcare, a subsidiary of The Cigna Group, invites you to join our team! Joining our non-clinical team, you will help manage the benefit needs of inbound callers from start to finish while 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 under HIPAA and PHI, maintaining confidentiality for each call.
3. Manage multiple back-to-back calls using various applications on multiple screens, accurately entering all patient, provider, and imaging center data.
4. Follow the formal script pathway with each caller, and transfer unresolved calls to the appropriate department.
5. Stay client-focused, resolving customer inquiries and complaints with one-call resolution.
6. Attend 100% of the 8-week training, which includes live-call participation.

Qualifications

1. High School diploma or equivalent required.
2. Prior customer service experience preferred.
3. Intermediate proficiency in Microsoft Outlook; strong written, organizational, and verbal communication skills.
4. Excellent customer focus with the ability to diffuse difficult callers constructively.
5. Accountability and ownership in problem-solving.
6. Engaged, coachable, and positive attitude, willing to be a role model.
7. Team player who shares knowledge and supports peers.
8. Flexible, open-minded, and adaptable to business needs.
9. Self-confident, using good judgment to do what is right and keep promises.

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 programs, 401(k) with company match, paid life insurance, tuition reimbursement, at least 18 days of paid time off, and holidays.

Note: We are currently training in a work-from-home environment. Reliable internet connectivity via wired connection is required. Mobile or hotspot connections are not acceptable. You may need to purchase an Ethernet cord depending on your setup. Internet speeds should be at least 10 Mbps download and 5 Mbps upload.

The anticipated hourly rate is $17.75 to $19, depending on experience and location. The role may also be eligible for an annual bonus plan.

Additional Information

We support your health and balance with comprehensive benefits starting on day one, including medical, vision, dental, behavioral health, 401(k), paid time off, and holidays. For more details, visit Life at Cigna Group.

About Evernorth Health Services

Evernorth creates pharmacy, care, and benefit solutions to improve health and vitality, innovating to make health services more accessible. Join us to drive growth and improve lives.

Qualified applicants are considered without regard to race, color, age, disability, sex, medical conditions, sexual orientation, gender identity, veteran status, religion, national origin, or other protected characteristics.

If you need accommodations during the application process, email [e-mail]. Do not email this address for application updates or resumes.

The Cigna Group maintains a tobacco-free policy and may not hire tobacco/nicotine users in states where permitted. Candidates in these states must enter a smoking cessation program before employment. States include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.

Applicants with criminal histories will be considered in accordance with applicable laws.