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, 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 proficiency in Microsoft Outlook; strong written, organizational, and verbal communication skills 

• Excellent customer 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 

• Team player who exchanges 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 10/14/2024

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