Cigna is hiring Customer service representatives in Billing, Credit, Collections, General Clerk, Intake, and more. Hiring the following state: California, Indiana, Kentucky,
Minnesota, Mississippi, Missouri, Massachusettes, Michigan, Mayland, New Jersey, Pennsylvania, New York, Nevada, Ohio, Tennessee, Texas, Wisconsin, Washington, Georiga, North Carolina, Illinois, South Carolina, Virginia Utah, Oregon, New Mexico, Arkansas, Delaware, Alabama, New Hampshire, Vermont, District Of Columbia, Wisconsin, Nevada, West Virginia, Hawaii, Idaho, Rhode Island, South Dakota. $14.00--$33.00
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.
, Work from home, SC - Accredo
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.
POSITION SUMMARY
The Credit & Collections Analyst position is responsible for the collections of the accounts receivable for Corporate Financial Services. This position’s primary functions involve analyzing and mitigating financial risk and exposure to the organization; in addition to demonstrating strong analytic and customer service skills.
POSITION SUMMARY
The Credit & Collections Analyst position is responsible for the collections of the accounts receivable for Corporate Financial Services. This position’s primary functions involve analyzing and mitigating financial risk and exposure to the organization; in addition to demonstrating strong analytic and customer service skills.
ESSENTIAL FUNCTIONS
Preparation of raw data, analysis, and reporting into appropriate receivable documents for use by clients, internal partners, and management.
Proactive monitoring of assigned Book of Business for issues that could cause a build-up of A/R.
Build client relationships through partnership in facilitating the resolution of a client’s issue.
Resolving short payments received from clients.
Working with internal partners to address billing issues and recommend solutions to keep A/R from being impacted.
Special projects. QUALIFICATIONS
Bachelor’s degree in Business, Finance or related field or equivalent work experience.
Minimum 2-5 years relevant commercial collections experience required.
Intermediate Excel skills.
Demonstrated integrity.
Strong work ethic.
Ability to work under pressure and meet deadlines.
Strong communication skills and ability to interact with clients.
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.
This position is not eligible to be performed in Colorado.
As a Customer Service Clerk your focus would be providing patients with their medication profile and acting as a liaison between doctor’s offices or pharmacies and our pharmacist team.
Here’s a little more on how you’ll make a difference:
Running discharge in the system (RxHome)
Mailing medication profiles to patients
Help patients understand their pharmacy benefits better
Provide order clarification, scheduling, and resolutions to patient questions/concerns
Use your expert listening skills to get to the heart of a patient’s question quickly and document all interactions in real-time
Identify and empathetically address patient concerns or escalate appropriately
Make recommendations for system or process improvements
Work effectively with other departments
What You Should Have:
High School Diploma or GED
2+ years of related administrative, customer service, or data entry experience
Basic knowledge of benefits/insurance plans preferred
Knowledge of pharmacy benefit management systems preferred (TMW, e-SD, and RxHome or other)
Demonstrated ability to handle challenging customers in a professional manner
Excellent communication skills
Strong attention to detail and problem-solving skills
General PC knowledge including Microsoft Office.
We expect the shift for this role will be Monday-Friday 8:00 AM – 5:00 PM CST.
This role is Flex which allows most work to be performed at home. Employees must be fully vaccinated if they choose to come onsite.
The Representative reviews submitted applications and must interpret notations left by the New Business division and present the information to the callers (either agents or applicants.)
The Representative is familiar with Commissions payments and schedules in order to assist with agents’ inquiries regarding their compensation.
The representative will assist other members of the team with complex issues.
Job Responsibilities:
Receives requests via telephone regarding Insurance application status and Commissions.
Responds to inquiries from Independent and Cigna Agents and/or agencies for information and assistance.
Performs research to respond to inquiries and interprets notifications to determine the most effective response.
Independently responds to inquiries, grievances, complaints or appeals ranging from routine to moderate complexity.
Schedule may vary based on needs of business but core working hours are: Monday-Friday 8-5:30 CST
Performance is determined on many factors including phone metrics and quality assurance scores.
Minimum Qualifications:
Associate’s Degree and/or 2+ years’ work experience in customer service- call center preferred
Previous work experience in customer service required
Ability to handle complex customer issues in a professional and calm mann
This position is not eligible to be performed in Colorado.
Help clients, customers, and health care providers understand our business a little better. Topics like determination of payments and claims related to medical and dental procedures and office and hospital visit costs are common questions.
Make it easy for customers to work with us. Take ownership of their issues and do your best to resolve them over the phone the first time, every time.
Be an advocate for health and wellness. Educate customers on disease management programs and make recommendations on the right healthy living programs for their needs.
Enjoy regular development opportunities and mentorship as you train with the best team in the industry.
We offer extensive, hands-on training and guided on-the-job training to ensure you’re successful here. (And enjoy your job too!)
What you should have:
Must be willing to work a designated shift between 7 am - 7 pm, Sunday through Friday
High School Diploma or equivalent required, Associates or Bachelor’s degree preferred
1+ years of customer service experience analyzing and solving customer problems required;
intermediate proficiency in Microsoft Office Suite; high-level capacity to multitask independently and on a computer
Knowledge of Medical Terminology a PLUS
Excellent written and oral communication skills
Exceptional organizational and time-management focus
Bilingual in Spanish
This position is not eligible to be performed in Colorado.
Responsibilities:
Works in conjunction with multiple vendor relationships with the ability to handle additional vendors as the Government Business Segment grows.
Assist with implementations related to new vendors for cost avoidance pre-payment/post-payment edits, subrogation
Participate in Implementation of vendor services for new markets or existing Cigna plans
Implement new audits and edits to increase and maximize overall savings
Participates in workgroups to help resolve complex payment issues; involving QNXT/QCARE Configuration, Health Services, Network, and Contracting
Collaborates with counterparts from the Cigna Commercial (ClaimsXten, ClaimCheck, Prepayment editing)
Assists with training of team members and External Vendors
Ability to interpret coding guidelines, CMS regulations, reimbursement, Medicare Claim Processing for accurate application of policy to claim edits and audits
Research coding and fee schedule questions supporting various departments: Network Operations, Provider Contracting, and Configuration
Review unsettled provider disputes for compliant and fair outcome utilizing Call Trackers
Participates in the review and approval process of new Medicare coding edits for claims
Assist manager/supervisor with Legal questions, issues related to edits, audits and reimbursement
Review monthly reports from Suppliers; addressing trends, concerns, spikes or actionable items.
Work From Home, TN and MO-eviCore
As an Intake Representative in eviCore healthcare’s Non-clinical Call Center, you’ll use your commitment to outstanding service and upbeat attitude to serve as the main point of contact for inbound callers as you manage their benefits needs from start to finish.
What you should have:
High School Diploma / GED required
A strong customer service orientation and commitment to providing outstanding service
Professionalism and a strong work ethic; the ability to excel and meet your responsibilities in a highly structured environment
Excellent verbal and written communication skills
Why join us?
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 provides the knowledge you need to excel
A training lab where you take live calls with a training supervisor close by to answer questions.
18 days of PTO per year plus paid holidays
Health, dental, vision, and life benefits with employer-funded HSA
Monthly pay for performance bonus incentive
A clear path for advancement, with eviCore’s CoreMap showing your unique path to future opportunities!
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.
$2000 Sign-On Bonus
$500 paid out after 45 days of hire
$500 paid out after 90 days of hire
$1000 paid out after 9 months of hire
Customer Service Advocate – Patient Care
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) What you’ll love about working here:
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
SC, GA, FL-eviCore
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
Work from Home
Essential Functions
Identifies variances to service level metrics such as ASA and queue levels and collaborates to ensure metrics are attained.
In-depth analysis of forecast assumptions versus actual performance to determine root cause change in predicted weekly, daily, or interval call volume. This can involve reviewing metrics in areas outside of the contact center such as Front End and Back End
Present forecasting metrics including interval level forecast requirements, staffing, and over/under to the Resource Management Team and Operations via meetings and email as requested.
Partner with teams across the broader enterprise to understand operational processes and requirements, and to identify continuous improvement strategies.
Leverage data and predictive analysis to clearly articulate problems and influence decisions that support the strategic direction
Collaborate with Operations and RMG partners to support the workstream model and other internal initiatives
Consolidate data from numerous systems into a single source of truth.
Identify and implement technology to automate and improve the forecasting process.
Consistently meets deadlines and can manage multiple projects
Additional duties as assigned.
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?
$2000 Sign-On Bonus
$500 paid out after 45 days of hire
$500 paid out after 90 days of hire
$1000 paid out after 9 months of hire
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) What you’ll love about working here:
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
Albuquerque NM or Tempe AZ - Express Scripts
** Permanent work from home Albuquerque NM or Tempe AZ**
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 (Medicare Part D experience preferred)
General PC knowledge including Microsoft Office
Excellent communication skills (verbal and written)
What you’ll love about working here:
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.
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.
Work from Home - Accredo
*Work at home opportunity
As a Customer Service Advisor, you will lead and support Accredo’s outsourced Contact Center Operations throughout a particular line of business. The primary objective of this role is delivering the executional elements of contact center operations across the regional outsourced contact centers or at a specific site. This includes partnering with outsourced leadership to ensure that our Accredo Contact Center Vendors are motivated and receive proper direction to achieve top performance against quality, operational efficiency and adherence to policy, procedure, and defined customer process delivering a seamless customer experience.
You would be an integral partner in managing our Accredo Contact Center Vendors operations while driving key initiatives and representing the Accredo brand and culture. You would draw from previous work experience in contact center management, Accredo subject matter expertise, and vendor management to ensure operations are run consistently and positively impact the customer/provider experience.
What you’ll do:
Strategic oversight of vendors and governance of the quality of their delivery to the enterprise
Develop, nurture and deliver collaborative partnerships with vendors, operations teams, project control teams, and other internal teams
In-depth knowledge of Accredo systems & Processes
Understand, communicate and manage SLAs (production and non-production), drive SLAs to ensure alignment with strategic delivery goals.
Partner with operations to anticipate and plan ahead for key business initiatives.
Identify, prioritize and resolve key process issues.
Act as escalation POC for internal and external stakeholders.
Proactive communication at the Executive level to create transparency and the identification of risk, impacts, and mitigation.
Provide trending, analysis, and resolution of issues impacting system performance and business continuity.
Execute and facilitate Weekly Partner Reviews with vendors.
Delivery of prescribed customer and provider experience.
Create innovative plans with Accredo leadership and partners to drive and achieve tNPS/Quality and call delivery targets through the integrated model.
Effectively communicate the Accredo vision and help create and drive a culture that’s aligned with Accredo's brand
Manage 24x7 partner contact center operation.
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