Customer Service Non-Clinical Intake Representative

Evicore Franklin , TN 37064

Posted 3 weeks ago

Summary

As an Intake Representative in evi

Core healthcare's Non-Clinical Call Center, you will serve as the main point of contact for inbound callers as you manage their benefits needs from start to finish. This includes processing requests for service, speaking with physicians' offices and sites where the procedures will take place, as well as capturing and entering the necessary demographic and medical information in order to build the case file. You will also provide status updates and serve as a liaison to our clinical staff when needed.

Upon joining us, you will attend 5 weeks of in-depth training to help ensure your success here at evi

Core healthcare. After training, a mentor and supervisor will guide your performance as you take inbound calls from doctor's offices and/or diagnostic centers, through a computer generated system. The ability to multitask will be key, as you will be listening, entering information, completing Internet searches, and asking probing questions. Specifically, you will:

  • Process Review of Service Request notifications that do not require certification of medical necessity

  • Promptly transfer Review of Services calls which cannot be completed via the formal script to a Clinical First Level Reviewer or Medical Reviewer for completion

  • Work with sites, patients and physician's offices to investigate and resolve any pre-certification questions or concerns and preempt unanticipated issues

  • Provide professional, courteous and accurate information to all callers

Minimum Experience Required

  • A strong customer service orientation and commitment to providing outstanding service

  • Strong attention to detail

  • Professionalism and a strong work ethic; the ability to excel and meet your responsibilities in a highly structured environment

  • The ability to work independently and as a reliable team member

  • An upbeat attitude with a coachable persona

  • Inquisitiveness and the desire to continually learn and improve

Required Skills

  • A high school diploma or GED equivalent

  • Excellent written and verbal communication skills, including active listening skills

  • Computer literacy, including:

  • The ability to type 30-40+ wpm with accuracy

  • The ability to multitask, typing and shifting between open windows and applications as you speak with callers, do research, complete paperwork, etc.

  • The skill to use common software such as MS Office, especially Word, and perform tasks such as Cut and Paste, and Copy

  • Flexibility to work any assigned shift between 7 a.m. and 9 p.m., Monday through Friday. Typically, you'll begin with an 8:30 a.m. to 5:00 p.m. training shift, which may be modified once you are fully acclimated, based upon company needs and available openings.

  • Additionally, to meet the basic requirement for this role you must be legally authorized to work permanently in the U.S. for any employer without requiring a Visa transfer or Visa sponsorship.

Our Company and What We Offer

evi

Core healthcare is committed to making a positive impact on healthcare, and also making a positive impact on our employees. evi

Core offers a variety of perks and benefits including, but not limited to:

  • 5 weeks of classroom and training lab, including:

  • Best in class call center training program

  • A classroom environment, live trainer and open discussion

  • A proven curriculum providing the knowledge you need to excel

  • A training lab where you take live calls with a training supervisor close by to answer questions

  • A monthly pay for performance bonus incentive

  • A clear path for advancement, with evi

Core's CoreMap showing your unique path to future opportunity!

  • 3 weeks of PTO (starting) per year plus paid holidays

  • Health, dental, vision, and life benefits with employer funded HSA

  • Comprehensive employee discount program, onsite fitness facilities, and smart casual dress code

  • 401k retirement plan with company match of 50% employee contributions up to 6%

icon no score

See how you match
to the job

Find your dream job anywhere
with the LiveCareer app.
Mobile App Icon
Download the
LiveCareer app and find
your dream job anywhere
App Store Icon Google Play Icon
lc_ad

Boost your job search productivity with our
free Chrome Extension!

lc_apply_tool GET EXTENSION

Similar Jobs

Want to see jobs matched to your resume? Upload One Now! Remove
Provider Relations Telephonic Customer Service Representative Franklin TN

Cigna

Posted 4 days ago

VIEW JOBS 12/5/2019 12:00:00 AM 2020-03-04T00:00 It's fun to work in a company where people truly BELIEVE in what they are doing! We're committed to bringing passion and customer focus to the business. Hours of Position: 9:30A – 6:00P (Monday-Friday) This role is within the Provider Service Unit (PSU). This position is responsible for incoming telephonic customer service and support handling provider inquiries, questions and complaints. DUTIES AND RESPONSIBILITIES * Responds to provider inquiries, concerns, complaints, appeals and grievances. * Initiates and maintains effective channels of communication with providers and related office staff. * Monitors and track service issues and inquiries and assists with the identification of educational opportunities/programs to improve overall services to the provider network. * Researches problems and negotiates with internal/external partners/customers to resolve highly complex and/or escalated and sensitive issues. * Demonstrates knowledge of providers in assigned geographic area. Understands interrelationships among providers in local market. * Manages appropriate physician correspondence. * Responds to provider inquiries and instructions regarding provider data in CIGNA systems. Coordinates these provider interactions with Provider Relations Representatives and Matrix Partners as necessary. * Manages the batching and Credentialing Required Adds into the eTQS workflow application. * Coordination and handling of physician orientations for new and existing providers (mailing out provider orientation packages, scheduling provider appointments for conference call, confirming appointments via phone). * Provides continuing education of providers via phone on claim submission, claim resubmission and use of provider website and customer service on the status of outstanding claims and electronic submission. * Initiates and maintains effective channels of communication with matrix partners, particularly with provider services staff in the field. POSITION REQUIREMENTS * Bachelors Degree required or equivalent work experience * Minimum of 2 years managed healthcare experience * Previous customer service experience required. * Ability to use PC software and multiple CIGNA systems * Ability to problem solve * Previous claim, coding, billing experience preferred * General product(s) and customer knowledge * Solid oral and written communication skills * Excellent influencing and executive presentation skills. * Team player with proven ability to develop strong working relationships within a matrix organization. * Technical/Functional expertise: Customer Service, Provider Services Qualified applicants will be considered without regard to race, color, age, disability, sex (including pregnancy), childbirth 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 an accommodation based on your physical or mental disability please email: SeeYourself@cigna.com. Do not email SeeYourself@cigna.com for an update on your application or to provide your resume as you will not receive a response. Cigna Franklin TN

Customer Service Non-Clinical Intake Representative

Evicore