Customer Service Representative - Remote - eviCore

Lensa; Bloomfield (CT); Remote; USD 50,000 - 60,000; Full time

Job summary

A leading healthcare company is seeking a Customer Service Representative to join their remote team. The role involves managing inbound calls and providing excellent patient-provider care while ensuring confidentiality and adherence to HIPAA standards. Ideal candidates will have a strong customer focus, problem-solving skills, and a proven background in customer service. Comprehensive benefits include medical, vision, dental, and paid time off.

Benefits

401(k) with company match

Company paid life insurance

Tuition reimbursement

18 days of paid time off per year

Medical, vision, and dental benefits

Qualifications

• Prior customer service background strongly preferred.
• Ability to independently resolve customer inquiries.
• Engaged, coachable, upbeat attitude.

Responsibilities

• Accept a daily average of 100-125 inbound calls.
• Verify patient records under HIPAA and PHI.
• Meet or exceed performance metrics.

Skills

Communication skills

Problem-solving

Customer focus

Organizational skills

Education

High School diploma or equivalent

Tools

Microsoft Outlook

Job description

Customer Service Representative - Remote - eviCore

Customer Service Representative - Remote - eviCore

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Lensa is a career site that helps job seekers find great jobs in the US. We are not a staffing firm or agency. Lensa does not hire directly for these jobs, but promotes jobs on LinkedIn on behalf of its direct clients, recruitment ad agencies, and marketing partners. Lensa partners with DirectEmployers to promote this job for The Cigna Group.

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

If you like to make a difference and help people, have great communication skills and are able to problem-solve with a cool head, eviCore Healthcare, a subsidiary of The Cigna Group, wants you to join our team! In 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

Accept a daily average of 100-125 inbound calls from Health Plan clients, providers, and imaging centers seeking pre-authorization

Properly handle and verify patient records under HIPPA and PHI, and secure confidentiality for each call

Accept multiple back-to back calls utilizing various applications on multiple screens, and properly enter all patient, provider, and imaging center data

Follow the complete formal script pathway with each caller, identifying and transferring any calls that cannot be resolved via the formal script to the appropriate person or department

Remain client-focused at all times, with the ability to independently resolve customer inquiries and complaints with one-call resolution.

Attend 100% of 8 week training, which will include live-call participation training

Meet or exceed all performance metrics through accurate call handling and high-quality calls.

Qualifications

High School diploma or equivalent required

Prior customer service background strongly preferred

Intermediate profi ciency in Microsoft Outlook; s trong written, organizational, and verbal communication skills

Excellent c ustomer focus orientation with ability to diffuse difficult callers constructively

Takes accountability and ownership to efficiently solve problems

Engaged, coachable, upbeat attitude, with a willingness to be a positive role model for your peers

T eam player who e xchanges personal knowledge , offers, and accepts support

Flexible , open-minded, and able to adapt positively to business changes or needs

Self-confident and empowered to use good judgement to do what is right and keep all promises.

Our Company And What We Offer

eviCore healthcare is committed to making a positive impact on healthcare, and also making a positive impact on our employees. eviCore offers a variety of perks and benefits including, but not limited to:

NOTE : We are currently training in a work at home environment, and you will be required to have reliable internet connectivity provided through a wired connection. A mobile or hot spot environment is not acceptable and you may need to purchase an Ethernet cord depending on your current set up

If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.

For this position, we anticipate offering an hourly rate of 17.75 - 19 USD / hourly, depending on relevant factors, including experience and geographic location.

This role is also anticipated to be eligible to participate in an annual bonus plan.

We want you to be healthy, balanced, and feel secure. That’s why you’ll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you’ll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k) with company match, company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, visit 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 increase vitality. We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people. Join us in driving growth and improving lives.

Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.

If you require reasonable accommodation in completing the online application process, please email: [e-mail] for support. Do not email [e-mail] for an update on your application or to provide your resume as you will not receive a response.

The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These 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.

Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.

If you have questions about this posting, please contact [e-mail]

Seniority level

• Seniority level

  Entry level

Employment type

• Employment type

  Full-time

Job function

• Job function

  Other

• Industries

  IT Services and IT Consulting

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