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Customer Service Intake Representative-Work from home, NV-eviCore, Virtual, Nevada

Created07/28/2021
Reference21013723
CategoryCustomer Service & Claims
Job typeFull Time
CountryUnited States
StateNevada
CityVirtual
SalaryCompetitive
After completion of application, be sure to complete the required assessment to continue in the hiring process.

As an Intake Representative in eviCore 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 6 weeks of in-depth training to help ensure your success here at eviCore 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

What You Should Have
  • 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

Wondering what a typical, day in the life of a Non-Clinical Contact Center employee looks like?

Take a look here > https://talentcentral.us.shl.com/player/link/6ce41ae1785a471a8d7f994e590c1080

Our Company and What We Offer

eviCore healthcare is committed to making a positive impact on healthcare, and also making a positive impact on our employees. eviCore offers a variety of perks and benefits including, but not limited to:

NOTE: We are currently training in a work at home environment, and you will be required to have reliable internet connectivity provided through a wired connection. A mobile or hot spot environment is not acceptable and you may need to purchase an Ethernet cord depending on your current set up
  • 6 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 eviCore's CoreMap showing your unique path to future opportunity!
  • 18 days of PTO per year plus paid holidays
  • Health, dental, vision, and life benefits with employer funded HSA


For positions that are Flex/WAH:
This role is WAH/Flex which allows most work to be performed at home. Employees must be fully vaccinated if they choose to come onsite.

About Cigna

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: 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.
Employer520 eviCore healthcare MSI, LLC