Customer Service Representative - Remote - Medicare Advantage - The Cigna Group
Austin, TX
About the Job
The Cigna Group is a global health service company dedicated to helping people improve their health and vitality. Provider Customer Service Representative team is seeking a dedicated, compassionate, and empathetic advocate to join our team. Every interaction allows you to improve the lives of our customers and exceed their expectations.
RESPONSIBILITIES
+ Serve as the advocate for providers by demonstrating accountability and ownership to resolve issues
+ Triage contacts quickly and appropriately from healthcare professionals (i.e., physician offices, clinics, billing offices)
+ Seek to understand and identify the needs of the provider, answering questions and resolving issues (e.g., benefits and eligibility, billing and claims, clinical authorizations, explanation of payments)
+ Research and dissect complex claim issues and take appropriate steps to resolve identified issues to avoid repeat calls, escalations, and provider dissatisfaction
+ Collaborate effectively with multiple internal partners to ensure issues are resolved and thoroughly communicated to providers promptly
+ Multitask effectively and efficiently to extract necessary information from more than 15 systems
+ Influence providers to utilize self-service digital tools aiding in faster resolution
+ Attend 100% of training in the first 90 days of employment.
QUALIFICATIONS
+ High School diploma or equivalent
+ 1 year of customer service experience is required
+ Experience in a related environment (i.e., office, call center, customer service, etc.) using phones and computers is preferred
+ Required to have a dedicated work area established that is separated from other living areas and provides information privacy
+ Ability to keep all company-sensitive documents secure (if applicable)
+ Intermediate proficiency in Microsoft Outlook
+ Strong organization skills, written, and verbal communication skills
+ Ability to remain calm and helpful even when dealing with difficult situations.
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.
About The Cigna Group
Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we’re dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. 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._
_Qualified applicants with criminal histories will be considered for employment in a manner_
_consistent with all federal, state and local ordinances._
_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._
RESPONSIBILITIES
+ Serve as the advocate for providers by demonstrating accountability and ownership to resolve issues
+ Triage contacts quickly and appropriately from healthcare professionals (i.e., physician offices, clinics, billing offices)
+ Seek to understand and identify the needs of the provider, answering questions and resolving issues (e.g., benefits and eligibility, billing and claims, clinical authorizations, explanation of payments)
+ Research and dissect complex claim issues and take appropriate steps to resolve identified issues to avoid repeat calls, escalations, and provider dissatisfaction
+ Collaborate effectively with multiple internal partners to ensure issues are resolved and thoroughly communicated to providers promptly
+ Multitask effectively and efficiently to extract necessary information from more than 15 systems
+ Influence providers to utilize self-service digital tools aiding in faster resolution
+ Attend 100% of training in the first 90 days of employment.
QUALIFICATIONS
+ High School diploma or equivalent
+ 1 year of customer service experience is required
+ Experience in a related environment (i.e., office, call center, customer service, etc.) using phones and computers is preferred
+ Required to have a dedicated work area established that is separated from other living areas and provides information privacy
+ Ability to keep all company-sensitive documents secure (if applicable)
+ Intermediate proficiency in Microsoft Outlook
+ Strong organization skills, written, and verbal communication skills
+ Ability to remain calm and helpful even when dealing with difficult situations.
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.
About The Cigna Group
Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we’re dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. 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._
_Qualified applicants with criminal histories will be considered for employment in a manner_
_consistent with all federal, state and local ordinances._
_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._
Source : The Cigna Group
