Customer Service Representative - Remote - eviCore

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

Job summary

Join a forward-thinking company as a Customer Service Representative, where your communication skills and problem-solving abilities will make a real difference. As part of a dynamic team, you will manage inbound calls, ensuring excellent service while maintaining confidentiality. This role offers the opportunity to work remotely, providing a supportive environment with comprehensive benefits, including health care and paid time off. If you're adaptable, customer-focused, and ready to take on challenges, this position is perfect for you. Embrace the chance to positively impact lives while growing your career in a rewarding setting.

Benefits

Medical Insurance

Dental Insurance

Vision Insurance

401(k) with Company Match

Paid Time Off

Tuition Reimbursement

Behavioral Health Programs

Paid Life Insurance

Qualifications

• High School diploma or equivalent required.
• Prior customer service experience is strongly preferred.
• Intermediate proficiency in Microsoft Outlook.

Responsibilities

• Accept a daily average of 80-100 inbound calls from clients.
• Manage multiple back-to-back calls using various applications.
• Follow the complete formal script pathway with each caller.

Skills

Communication Skills

Problem-Solving

Customer Service

Organizational Skills

Adaptability

Education

High School Diploma

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 with a cool head, eviCore Healthcare, a subsidiary of The Cigna Group, wants you to join our team! By 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. Accept a daily average of 80-100 inbound calls from Health Plan clients and providers seeking pre-authorization.
2. Properly handle and verify patient records under HIPAA and PHI, maintaining confidentiality for each call.
3. Manage multiple back-to-back calls using various applications across multiple screens, entering all patient, provider, and imaging center data accurately.
4. Follow the complete formal script pathway with each caller, and transfer calls that cannot be resolved via the script to the appropriate department.
5. Remain client-focused at all times, with the ability to resolve customer inquiries and complaints with one call resolution.
6. Attend 100% of the 8-week training, which includes live-call participation training.

Qualifications

1. High School diploma or equivalent required.
2. Prior customer service experience is strongly 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. Take accountability and ownership to solve problems efficiently.
6. Engaged, coachable, and upbeat attitude, willing to be a positive role model.
7. Team player who shares knowledge, offers, and accepts support.
8. Flexible, open-minded, and adaptable to business changes or needs.
9. Self-confident and empowered to use good judgment to do what is right and keep promises.

Our Company and What We Offer

eviCore Healthcare is committed to making a positive impact on healthcare and on our employees. We offer various perks and benefits, including but not limited to:

Note: We are currently training in a work-from-home environment. You will need reliable internet connectivity via a wired connection. Mobile or hotspot connections are not acceptable, and you may need to purchase an Ethernet cord based on your setup.

If working from home, your internet must be through a cable broadband or fiber optic provider with speeds of at least 10 Mbps download and 5 Mbps upload.

For this position, the hourly rate is anticipated to be $17.75 - $19 USD, depending on experience and location.

This role may be eligible for an annual bonus plan.

We support your health, balance, and security with benefits such as medical, 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 per year, and paid holidays. More details are available on Life at Cigna Group.

About Evernorth Health Services

Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care, and benefit solutions to improve health and vitality. We innovate to make illness prediction, prevention, and treatment more accessible. Join us to drive growth and improve lives.

Qualified applicants will be considered regardless of race, color, age, disability, sex, pregnancy, sexual orientation, gender identity, veteran status, religion, national origin, marital status, genetic information, or other protected characteristics.

If you need reasonable accommodation to complete the application, email: [e-mail]. Do not email this address for updates or resumes.

The Cigna Group maintains a tobacco-free policy and may choose not to hire tobacco/nicotine users in states where permitted. Candidates in such states must enter a smoking cessation program before employment.

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