Job title: Physician Support Unit Representative I- Work from home – eviCore
Job description: Remote, Work from home, United States
The Physician Support Unit (PSU) Rep I position will answer telephone calls in the physician line queue, meeting departmental standards for speed of answer and call volume, in a professional and respectful manner. This individual will be skilled at understanding how to research and resolve any issues pertaining to the pre-certification process. This includes knowing when and where to refer callers as needed; and full understanding of the appeals/reconsideration policy. This individual must be able to communicate professionally with the caller as needed.
The PSU Rep I will also be responsible for watching the phone queue to maintain awareness of when the volume of calls is high. During these times, this role must not go on Aftercall, or Aux time, unless an urgent necessity.
Additional responsibilities include:
Educating callers about the Health Plan requirements for pre-authorizations, reconsiderations, and appeals
Working with sites, patients, and physicians offices to investigate and resolve any pre-certification issues and know where to transfer calls when appropriate.
Giving professional, courteous, and accurate information to all callers.
Maintaining a working knowledge of all process and procedure changes, CPT coding and updated training materials and use these changes and processes according
Education: High School graduate or higher education.
Previous customer service, medical experience, including medical terminology, medical billing and managed care preferred.
Experience with data entry and customer service.
Customer service focused with excellent communication skills
Ability to learn and adapt quickly in a fast-paced environment
Analytical and well versed in Health Plan specific rules, regulatory and statutory
For positions that are Flex/WFH:
This role is Flex/WFH which allows most work to be performed at home or on occasion at a Cigna office location. Employees must be fully vaccinated if they choose to come onsite.
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 – 21 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.
We want you to be healthy, balanced, and feel secure. That’s why 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) with company match, company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, visit .
Cigna Corporation exists to improve lives. We are a global health service company dedicated to improving the health, well-being and peace of mind of those we serve. Together, with colleagues around the world, we aspire to transform health services, making them more affordable and accessible to millions. Through our unmatched expertise, bold action, fresh ideas and an unwavering commitment to patient-centered care, we are a force of health services innovation. When you work with us, or one of our subsidiaries, you’ll enjoy meaningful career experiences that enrich people’s lives. What difference will you make?
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: [email protected] for support. Do not email [email protected] for an update on your application or to provide your resume as you will not receive a response.
Cigna 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.
Job date: Wed, 21 Sep 2022 04:20:36 GMT