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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. Read more about salary on each position and employee reviews here
Location: Work at Home in Doral/Miami, FL area
As a Customer Service Representative at Cigna, you will help our 95+ million members make the most of their Cigna benefits. You’ll set our customers at ease and work from your toolkit to help solve problems and provide solutions. Above all, you will make an impact in the lives of others, day in and day out.
Here’s a little more about what you will do:
Receives requests by mail, telephone, or in-person regarding insurance claims/policies.
Responds to inquiries from policyholders, providers, and/or others for information and assistance.
Performs research to respond to inquiries and interprets policy provisions to determine the most effective response.
Mails or routes claim forms and supporting documentation to various units for final processing.
Independently responds to inquiries, grievances, complaints, or appeals ranging from routine to moderate complexity. May seek assistance with complex customer services issues.
What you should have:
High School Diploma required
1+ years of Healthcare Customer Service experience within a Call Center environment required
Bilingual Spanish (ability to read, write and speak fluently) required
Intermediate proficiency in Microsoft Office Suite; high-level ability to multitask and navigate within the computer
Excellent interpersonal and communication skills
Exceptional organizational and time-management focus
Ability to work an 8-hour shift during Hours of Operation from 8:00 am – 8:00pm Monday – Sunday, including Overtime
TX, PA, FL, OH, WI - Express Scripts
***Virtual - Must live in one of the following states: PA, TX, FL, OH, WI, UT***
As an Outbound Sales Member Choice Center Representative, you will work with patients, managing inbound and outbound calls to convert prescription medication needs from retail pharmacies to the Express Scripts Home Delivery pharmacy. Our Outbound Sales Representatives apply a consultative approach to communicate with customers about our home delivery benefits. Specifically, they provide insights on the options available for customers to have their prescriptions filled by the Express Scripts Pharmacy, educating them on the safety and convenience of our services and informing them of how our offerings fit their lifestyle.
How You’ll Make A Difference:
Help patients better understand the Home Delivery benefit. Use your expert knowledge and consultative sales approach to educate patients on the benefits of receiving their medication via home delivery, helping them to understand why it’s a good fit for their lifestyle.
Help patients get the medication they need. You’ll research issues on benefits coverage and provide guidance to our patients about making the best use of their benefits.
Juggle multiple tasks without sacrificing attention to detail. You’ll manage multiple requests simultaneously as well as document conversations in our computer system.
What You Should Have:
High School Diploma / GED required
Excellent phone and outbound sales skills
Ability to achieve targets
Relevant experience with customer service
Call Center experience preferred
General PC knowledge including Microsoft Office
Excellent communication skills (verbal and written)
What else you’ll love about working here:
$2000 Sign On Bonus (paid in installments)
Benefits that start on day one
Fun, friendly, and unique culture – Bring your whole self to work every day!
Choice of three unique medical plans
Prescription Drug, Dental, Vision and Life Insurance
Employee Contributions for HRA and HSA accounts
401K with Company Match
Paid Time Off and Paid Holidays
Tuition Assistance
**Schedule: 8:00AM – 5:00PM Monday - Friday
Must reside within 25 miles radius from the home office at CT 900 Cottage Grove Road Bloomfield, CT 06002.
This role requires weekly travel onsite. You will need to be fully vaccinated in order to travel & meet the requirements for this position.
Role Summary:
Provides guidance and administrative services for a National Account. Balance inbound/outbound calls while performing daily job functions. Respond to questions and problems regarding eligibility for major life change benefits which involves member billing and special medical insurance, retiree, and active dependent life insurance. Work closely with third-party vendors to obtain required information on customers’ major life changes in order to submit claims for processing. Ensures customer data is input accurately and timely.
Responsibilities:
•Effectively communicate with service partners and vendors to provide consultative support to customers for a National Account
•Provide excellent customer service
•Capacity to retain and utilize information, facts, policies, procedures, and resources to provide accurate and efficient responses
•Balance inbound/outbound calls while performing other daily job functions
•Consistently meet/achieve established quality performance guarantee standards
•Prepare customized packages for customers that contain specific benefit materials
•Work with vendors on customer billing, applying for payments, and reconciling accounts
•Investigate and verify coverage by gathering pertinent information
•Responsible for supporting the team in annual premium billing activities which consist of extending coverage, canceling coverage, and communicating rate changes when applicable
•Document all decisions and discussions that occur during the assessment process
•Accurately document calls in the designated database
•Updates and maintains reference materials/forms to ensure accuracy in resolution
•Maintain appropriate attendance and conduct
•Demonstrated willingness to learn and effectively apply new skills/techniques as customer expectations change
•Participate in team meetings and support organizational goals.
Qualifications:
•High School Diploma required, some colleges preferred
•Good verbal and written communication and interpersonal skills are required
•Ability to actively listen to customers, probe for clarification, and utilize empathy required
•Strong analytical, problem-solving and organizational skills required
•Ability to navigate through multiple systems and tools required
•Average computer navigation skills and proficiency in Microsoft Office applications such as Outlook, Excel, and Access required
•Ability to work as a team member and support others in balancing workload required
•Prior customer service experience in a call center environment (2 + year’s experience preferred)
•Ability to multi-task
•Ability to adapt to support changes quickly and effectively to meet business and customer needs to be required.
Location: Work at Home in Doral/Miami, FL area
As a Customer Service Representative at Cigna, you will help our 95+ million members make the most of their Cigna benefits. You’ll set our customers at ease and work from your in-person toolkit to help solve problems and provide solutions. Above all, you will make an impact in the lives of others, day in and day out.
Here’s a little more about what you will do:
Receives requests by mail, telephone, or in person regarding insurance claims/policies.
Responds to inquiries from policyholders, providers, and/or others for information and assistance.
Performs research to respond to inquiries and interprets policy provisions to determine the most effective response.
Mails or routes claim forms and supporting documentation to various units for final processing.
Independently responds to inquiries, grievances, complaints, or appeals ranging from routine to moderate complexity. May seek assistance with complex customer services issues.
What you should have:
High School Diploma required
1+ years of Healthcare Customer Service experience within a Call Center environment required
Bilingual Spanish (ability to read, write and speak fluently) required
Intermediate proficiency in Microsoft Office Suite; high-level8-hour ability to multitask and navigate within the computer
Excellent interpersonal and communication skills
Exceptional organizational and time-management focus
Ability to work an 8 hour shift during Hours of Operation from 8:00 am – 8:00 pm Monday – Sunday, including Overtime
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.
**Must have open availability between 7AM – 8PM MST
The Care Coordinator is responsible for maintaining workflow activities for the Post Acute Care Services for inbound and outbound communications between eviCore Healthcare stakeholders and external hospitals, physicians, and Post-Acute Care Providers.
The Care Coordinator demonstrates a complete understanding of how to research and resolve issues pertaining to the pre-certification of services as well as delivery of services and day-to-day operational concerns using defined processes.
Demonstrates full understanding and an ability to differentiate the Care Coordination processes across multiple states to ensure compliance with state regulations and commercial plans. They are responsible for communicating all state-specific and national health care laws to external hospitals, physicians, and Post-Acute Care providers including the appeals/reconsideration policies.
Inbound and outbound communications tasks include coordination of inbound requests from hospitals, physicians and Post-Acute Care providers for status checks on existing cases, directing calls to internal departments, notification calls to hospitals and Post-Acute Care providers regarding incomplete pre-certification requests, as well as authorization approvals.
In addition, this position is responsible for outbound calls to members, providers, physicians, and hospitals to ensure the member is receiving ordered/approved services. The Care Coordinator is responsible for evaluating client trends to report and partner with the appropriate internal stakeholders in order to address and resolve through facilitation of communication between clients, providers, IT and other eviCore healthcare team members.
Minimum Education, Licensure, and Professional Certification requirement:
High School graduate with diploma or equivalent.
Associates or Bachelor’s degree preferred
Minimum Experience required (number of years necessary to perform role):
2+ years of experience in a healthcare contact center or customer service required
Medical background with Post-Acute Care experience desired
Experience with insurance products including Managed Care and commercial plans
Various schedules to cover operating hours (7 AM – 8 PM MST)
Maintain flexibility to variations in work volume/work schedule, which sometimes require extended working hours.
Position may require rotating weekend and holiday coverage. Certain postings may require regular weekend coverage based on business and client needs.
Work From Home TX, PA, FL, OH, WI - $2000 sign-on bonus
***Virtual - Must live in TX, PA, FL, OH, WI***
As an Outbound Sales Customer Care Specialist, you will work with patients, managing inbound and outbound calls to convert prescription medication needs from retail pharmacies to the Express Scripts Home Delivery pharmacy. Our Outbound Sales Customer Care Specialists apply a consultative approach to communicate with customers and potential customers about our home delivery benefits. Specifically, they provide insights on the options available for customers to have their prescriptions filled by the Express Scripts Pharmacy, educating them on the safety and convenience of our services and informing them of how our offerings fit their lifestyle.
This role is on the front lines with patients, addressing customers with care, detail, and most importantly, empathy. To be successful you should be able to build an instant rapport, achieve customer satisfaction, and close the sale. A top Outbound Sales Customer Care Specialist should be able to work in a fast-paced rewards-driven workplace. Ideal candidates will be energetic, positive, and organized professionals who are able to effectively create relationships within the healthcare market.
This isn’t your typical Outbound Sales role. In fact, we have a few perks up our sleeves. In addition to our competitive base salary, you can increase your earnings potential with our $2000 sign-on bonus and our tiered performance bonus incentives. We offer five weeks of paid training, and the opportunity for career growth and advancement, and a comprehensive benefits package.
PA, TX, FL, OH, WI, UT - Express Scripts
***Virtual - Must live in one of the following states: PA, TX, FL, OH, WI, UT***
As an Outbound Sales Member Choice Center Representative, you will work with patients, managing inbound and outbound calls to convert prescription medication needs from retail pharmacies to the Express Scripts Home Delivery pharmacy. Our Outbound Sales Representatives apply a consultative approach to communicate with customers about our home delivery benefits. Specifically, they provide insights on the options available for customers to have their prescriptions filled by Express Scripts Pharmacy, educating them on the safety and convenience of our services and informing them of how our offerings fit their lifestyle
How You’ll Make A Difference:
Help patients better understand the Home Delivery benefit. Use your expert knowledge and consultative sales approach to educate patients on the benefits of receiving their medication via home delivery, helping them to understand why it’s a good fit for their lifestyle.
Help patients get the medication they need. You’ll research issues on benefits coverage and provide guidance to our patients about making the best use of their benefits.
Juggle multiple tasks without sacrificing attention to detail. You’ll manage multiple requests simultaneously as well as document conversations in our computer system.
What You Should Have:
High School Diploma / GED required
Excellent phone and outbound sales skills
Ability to achieve targets
Relevant experience with customer service
Call Center experience preferred
General PC knowledge including Microsoft Office
Excellent communication skills (verbal and written)
What else you’ll love about working here:
$2000 Sign-on bonus (paid in installments)
Benefits that start on day one
Fun, friendly, and unique culture – Bring your whole self to work every day!
Choice of three unique medical plans
Prescription Drug, Dental, Vision and Life Insurance
Employee Contributions for HRA and HSA accounts
401K with Company Match
Paid Time Off and Paid Holidays
Tuition Assistance
POSITION SUMMARY
Follows standard operating procedures to edit, bill, and collect payment on basic outstanding claims in pursuit of reducing the company's accounts receivable. Requires basic knowledge of the billing and collection processes and general supervision for routine work.
ESSENTIAL FUNCTIONS
Prepares and reviews claims to ensure billing accuracy.
Pursues collection activities to obtain reimbursement from payers and/or patients.
Frequent follow-up with payers and/or patients on outstanding accounts.
Escalates delinquent and/or complex claims to Sr. Billing & Reimbursement Specialists for appropriate action.
QUALIFICATIONS
High School Diploma or GED required.
2-3 years relevant experience.
PC Skills including Microsoft Outlook, Excel, Word and Internet.
Detail oriented and strong organizational skills.
Self-starter and team player.
Focus on quality and service.
Demonstrated ability to meet multiple deadlines and manage a heavy workload.
Integrity to handle sensitive or confidential information is critical.
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 setup.
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
Customer Service Advocate – Patient Care
Have you heard? Express Scripts is now part of Cigna. Together, we’ve got big plans. How big, you ask? We want to change health care to make it more affordable, more personalized, and more focused on helping the whole person to achieve better health outcomes. And that’s only the beginning. Read on to learn more about working with us.
Transform healthcare and contribute to our industry-leading organization as a Patient Care Advocate.
Our Patient Care Advocates have dedicated team members who excel at customer service, helping us elevate our patient care to new heights. In this crucial role, you are on the front lines with patients, responding to phone inquiries and addressing each with care, detail, and most importantly, empathy.
Here’s a little more on how you’ll make a difference:
Help patients understand their pharmacy benefits better. Use the knowledge you gain from training, your problem-solving skills and support from your team to answer patient calls effectively.
Help us keep track of our patient interactions. While on calls, use your expert listening skills to get to the heart of,a patient’s question quickly and document all interactions in real-time.
Ensure patients are equipped with the best advice. Identify and empathetically address patient concerns and, if necessary, escalate appropriately. What You Should Have:
High School Diploma / GED required
1 year of relevant experience
General PC knowledge including Microsoft Office
Excellent communication skills (verbal and written)
POSITION SUMMARY
Follows standard operating procedures to edit, bill, and collect payment on basic outstanding claims in pursuit of reducing the company's accounts receivable. Requires basic knowledge of the billing and collection processes and follow-upgeneral supervision for routine work.
ESSENTIAL FUNCTIONS
Prepares and reviews claims to ensure billing accuracy.
Pursues collection activities to obtain reimbursement from payers and/or patients.
Frequent follow up with payers and/or patients on outstanding accounts.
Escalates delinquent and/or complex claims to Sr. Billing & Reimbursement Specialists for appropriate action.
QUALIFICATIONS
High School Diploma or GED required.
2-3 years relevant experience.
PC Skills including Microsoft Outlook, Excel, Word, and Internet.
Detail-oriented and strong organizational skills.
Self-starter and team player.
Focus on quality and service.
Demonstrated ability to meet multiple deadlines and manage a heavy workload.
Integrity to handle sensitive or confidential information is critical.
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