Customer Service Representative - Remote - eviCore

Cigna; United States; Remote; USD 10,000 - 60,000; Full time

Job summary

Join a forward-thinking company dedicated to making a difference in healthcare! As a Customer Service Representative, you'll play a vital role in assisting patients and providers while delivering exceptional care. This remote position offers the chance to engage with clients, resolve inquiries, and ensure confidentiality under HIPAA. With a supportive training program and a focus on employee well-being, you'll thrive in a dynamic environment. Enjoy comprehensive benefits, including paid time off, health coverage, and a positive team atmosphere. If you're ready to make an impact, this opportunity is for you!

Benefits

Comprehensive Health Benefits

401(k) with Company Match

Paid Time Off

Tuition Reimbursement

Annual Bonus Plan

Qualifications

• Previous customer service experience is strongly preferred.
• Engaged, coachable, and upbeat attitude, willing to serve as a positive role model.

Responsibilities

• Handle an average of 80-100 inbound calls daily from Health Plan clients.
• Manage multiple back-to-back calls using various applications accurately.

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

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 calm demeanor, 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, while delivering outstanding patient-provider care.

RESPONSIBILITIES

• Handle an average of 80-100 inbound calls daily from Health Plan clients and providers seeking pre-authorization.
• Properly handle and verify patient records under HIPAA and PHI, maintaining confidentiality for each call.
• Manage multiple back-to-back calls using various applications across multiple screens, entering all patient, provider, and imaging center data accurately.
• Follow the complete formal script pathway with each caller, escalating calls that cannot be resolved via the script to the appropriate department or personnel.
• Remain client-focused at all times, independently resolving customer inquiries and complaints to achieve one-call resolution.
• Attend 100% of the 8-week training program, which includes live-call participation training.

QUALIFICATIONS

• High School diploma or equivalent required.
• Previous customer service experience is strongly preferred.
• Intermediate proficiency in Microsoft Outlook; strong written, organizational, and verbal communication skills.
• Excellent customer focus with the ability to de-escalate difficult callers constructively.
• Take accountability and ownership to solve problems efficiently.
• Engaged, coachable, and upbeat attitude, willing to serve as a positive role model.
• Team player who shares knowledge, offers support, and collaborates effectively.
• Flexible, open-minded, and adaptable to business changes or needs.
• Self-confident and empowered to use good judgment to do what is right and fulfill commitments.

Our Company and What We Offer

eviCore Healthcare is dedicated to positively impacting healthcare and our employees. We offer various perks and benefits, including but not limited to:

• Note: Currently training is conducted in a work-from-home environment. Reliable internet connectivity via a wired connection is required. Mobile or hotspot connections are not acceptable; you may need to purchase an Ethernet cord based on your setup.

For remote work, internet must be from a cable broadband or fiber optic provider with speeds of at least 10Mbps download and 5Mbps upload.

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

We prioritize your health and well-being with comprehensive benefits, including medical, vision, dental, behavioral health programs, 401(k) with company match, paid life insurance, tuition reimbursement, at least 18 days of paid time off annually, and paid holidays. For more details, visit Life at Cigna Group.

About Evernorth Health Services

Evernorth Health Services, a division of The Cigna Group, develops pharmacy, care, and benefit solutions to improve health and vitality. We innovate continuously to make illness and disease prediction, prevention, and treatment more accessible to millions.

We consider all qualified applicants regardless of race, color, age, disability, sex, pregnancy, sexual orientation, gender identity, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, public assistance status, citizenship, or other protected characteristics under applicable laws.

If you need reasonable accommodation to complete your application, please email: [e-mail]. Do not email this address for application updates or resumes, as responses will not be provided.

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

Qualified applicants with criminal histories will be considered in accordance with applicable laws.

About the company

Cigna is a global health services organization headquartered in Bloomfield, Connecticut.