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Summary: Incumbent will be a member of the Payer Solutions Operations customer service team; responsible for responding to customers and providers related to products we service. Candidate will be responsible for maintaining call center statistics including Average Speed of Answer, After Call Work and Schedule Adherence. Incumbent will handle precertification calls from HealthCare Professionals and Third-Party Administrator clients as well as assist customers with provider verification.
Responsibilities:
Handles incoming calls for precertification and status of providers in our network.
Responsible for appropriate documentation of precertification calls.
Responsible for handling incoming fax and mail inquiries for precertification or provider status.
Handles web request and emails as required from internal and external contacts.
Maintain appropriate audit results and call protocols to deliver service expectations to customers.
Maintain appropriate phone states, quality of service and call protocols to deliver service expectations to customers.
Qualifications:
High School diploma or GED required
2 - 3 years plus experience in service operations environment, preferably call center environment.
Knowledge of Medical Coding and Billing.
Articulate, service oriented and accurate documentation process skills.
Analytical, attention to detail and quality oriented.
Strong organizational and time management skills.
Strong written and verbal communication skills.
Knowledge of MS applications.
Problem solving skills.
Ability to manage multiple tasks and work under pressure in a fast-paced environment.
40 WPM
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.
At The Cigna Group, 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), company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year, paid holidays, and leaves of absence. For more details on our employee benefits programs, click here (https://jobs.thecignagroup.com/us/en/benefits) .
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 need a reasonable accommodation to complete the online application process, please email seeyourself@thecignagroup.com for assistance. Please note that this email inbox is dedicated to accommodation requests only and cannot provide application updates or accept resumes.
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.