Cigna Healthcare · 5 hours ago
Healthcare Member/Customer Service Representative
United States
Contract
Remote
Entry Level
$16.25/hr - $16.25/hr
1+ years exp
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Hiring Manager
Alka Mathur
Insider Connection @Cigna Healthcare
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Responsibilities
The representative will work directly with the members.
They are responsible for building rapport and educating members on their available options, including but not limited to, facility or screening options, preventative screening services available to them, or other alternative treatment options.
The intent is to assist the member in selecting the option that best pertaining to them.
Conducting research on each case, reaching out to the physician's office, making outbound calls to our members, and fielding incoming calls from members.
To track and communicate system errors in an expediential and thorough manner.
Self-report metrics successfully and regularly.
Take requests for care management from patients, physician offices or imaging centers.
Research issues regarding the certification process and forward to the appropriate parties.
Delivers basic technical, administrative, or operative Customer Service tasks.
Performs simple data entry, sorts requests, and maintains files.
Understands simple instructions and procedures.
Performs Customer Service duties under direct instruction and close supervision.
Work is allocated on a day-to-day or task-by-task basis with clear instructions.
Entry point into professional roles.
Connect with an average of 50-80 inbound and outbound callers per day, including members and physician's offices.
Build rapport with members, providing a full concierge service that includes everything from assistance with selecting the proper treatment locations.
Utilize the script pathway to educate members on facilities, screening options, and alternative treatments, and ask follow-up questions to determine their best options.
Meet or exceed performance metrics related to scheduling appointments and appointment confirmations.
Consistently multitask and conduct research on each case, toggling through various applications on multiple screens.
Ability to be empathetic understanding that we are dealing with sensitive content with our members.
Qualification
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Required
Need a hard-wired internet setup with at least 5 Mbps of upload speed and 10 mbps download speed
Must be able to work any shift between 8 am-8 pm EST Monday-Friday
Must have a quiet and private workspace to remain HIPAA compliant
Must be on camera for training and as requested by managers
High School diploma or equivalent
Preferred
1+ years previous experience in a contact center setting on outbound calls or dialer experience ideally preferred, and or telephonic sales experience
1+ year previous sales experience ideally preferred
Customer Service Skills (history of customer service exp) preferred
Phone skills
Computer skills
Basic Microsoft Excel, Microsoft Outlook, and Web-ex Teams (Internal) skills
Must be able to type more than 30 words per minute
Company
Cigna Healthcare
We are a health benefits provider that advocates for better health through every stage of life.
10,001+ employees
Funding
Current Stage
Public CompanyTotal Funding
unknownKey Investors
SMILE Health
2023-08-08Non Equity Assistance· undefined
1982-04-08IPO· undefined
Leadership Team
Eric Reed
Senior Vice President & CTO - Global Infrastructure Services & Technology Operations
James Beeson
SVP, Global Chief Information Security Officer
Recent News
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