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
Proficient in Isaac/Image One and case build required
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 this position in Colorado, we anticipate offering an hourly rate of 13.56, +/- 10%, depending on experience.
This role is also anticipated to be eligible to participate in an annual bonus plan.
Helping our customers achieve healthier, more secure lives is at the heart of what we do. While you take care of our customers, we'll take care of you through a comprehensive benefits program that helps you be at your best. Starting on day one of your employment, you'll be offered several health-related benefits including medical, vision, dental, and best in class 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 dozens of corporate discounts on essentials you use every day. For more details on our employee benefits programs, please visit the "Life at Cigna" tab on our careersite: www.cigna.com/careers
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
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