200+ applicants

This job has closed.

Company

Cigna Healthcare · 1 day ago

Health customer Service

United States

Contract

Remote

Entry Level

$17/hr - $17/hr

1+ years exp

Maximize your interview chances

Health CareMedical

Actively Hiring

Hiring Manager

Alka Mathur

Insider Connection @Cigna Healthcare

Discover valuable connections within the company who might provide insights and potential referrals.
Get 3x more responses when you reach out via email instead of LinkedIn.

Responsibilities

Receive request for authorization from hospitals, providers, customers and vendors via fax, phone and portal

Meet service level goals (e.g., Grade of Service, Average Handle Time, Average Speed to Answer, abandonment rate)

Determine authorization requirements based on company policy, member benefit grid and provider status

Review customer coverage and benefits

Review authorization requests and make determinations on correct authorization process (i.e. auto approve, refer to Utilization Management Nurse)

Maintain benchmark standards for TAT (Turn-Around-Time) as established by the organization.

Professional demeanor and the ability to work effectively within a team or independently

Flexible with the ability to shift priorities when required

Maintains regular and acceptable attendance in accordance with Time Away From Work policy

Ability to work evening, weekend and holiday shifts to support the UM Department

Other duties as requested

Qualification

Find out how your skills align with this job's requirements. If anything seems off, you can easily click on the tags to select or unselect skills to reflect your actual expertise.

Medical terminologyCPT codingHCPCS codingICD-10 codingMicrosoft OfficeCall center experienceTyping skillsDeadline managementMedicare Regulatory Requirements

Required

Proficient in medical terminology, CPT, HCPCS and ICD-10 coding

Effective oral and written communication skills

Strong customer orientation

Substantial knowledge of Microsoft Office including Outlook, PowerPoint, Excel and Word

Excellent typing skills

Previous call center/phone queue experience required

Excellent interpersonal and communications skills with nursing staff, physicians, nurse practitioners and other health workers involved in the care of a customer

Ability to meet deadlines and manage multiple priorities, and effectively adapt and respond to complex, fast-paced, rapidly growing, and results-oriented environment

Proficient knowledge of departmental policies and procedures

Knowledge of Medicare Regulatory Requirements

Previous experience working in a remote environment

High School Diploma