Customer Service Representative - Remote - eviCore

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 , 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.

Training:

Will begin on 10/28/2024

Post Training:

You will be expected to work a shift with a start time between 8am - 11:30am EST, Mon - Fri.

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 permanen...