Customer Service Prior Authorization Intake Representative- eviCore – Remote
Expired Job Description :JOB DESCRIPTION
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 , want s you to join our team! In joinin g 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 cent ers seeking pre-authorization
Properly handle and verify patient records under HIPPA and PHI, and secure confidentiality for each call
Accept multiple b ack-to back calls utilizing various applications on multi ple screens, and properly enter all patient, prov ider, 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 re solve customer inquiries and compl aints with one-call resolution.
A ttend 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.
After completion of application, be sure to complete the required assessment to continue in the hiring process.
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 – 18 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: SeeYourself@cigna.com for support. Do not email SeeYourself@cigna.com 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.
Last Date For Apply: 2023-10-04 00:00:00 Job Type : FULL_TIME, Employment Type : FULL_TIMEExpiredIf 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 , want s you to join our team! In joinin g 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 cent ers seeking pre-authorization
Properly handle and verify patient records under HIPPA and PHI, and secure confidentiality for each call
Accept multiple b ack-to back calls utilizing various applications on multi ple screens, and properly enter all patient, prov ider, 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 re solve customer inquiries and compl aints with one-call resolution.
A ttend 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.
After completion of application, be sure to complete the required assessment to continue in the hiring process.
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 – 18 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: SeeYourself@cigna.com for support. Do not email SeeYourself@cigna.com 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.
