Customer Service Representative - Cigna Healthcare - Remote
Cigna Healthcare
Montana, US
Provider phone call coordination
Pre-treatment review status
Case management call coordination
The UM CSR is responsible for the coordination and collaboration of provider phone calls related to pre-treatment review status and Case Management call coordination
Job Summary
The UM CSR is responsible for the coordination and collaboration of provider phone calls related to pre-treatment review status and Case Management call coordination.
The UM CSR will perform all customer service-related duties of the ACM team related to service/authorization requests and Case Management call coordination, responding promptly to all calls.
Promotes the use of ACMs (Allegiance Care Management) external self-service tools to eliminate unnecessary calls.
Matching Summary
The UM CSR is responsible for the coordination and collaboration of provider phone calls related to pre-treatment review status and Case Management call coordination.
Skills & Requirements
Must-have
Provider phone call coordination
Pre-treatment review status
Case Management call coordination
Respond promptly to all calls
Document all calls in platform
Communicate with provider for information
Nice-to-have
Adapt to software changes
Project professional image
Positive attitude
Work under pressure
Meet deadlines
Analyze and solve problems
Key Requirements
High school graduation or GED required
Basic computer and customer service required
Medical terminology and medical coding experience preferred
Excellent oral and written communication skills required
PC skills, including Windows and Word
Good interpersonal skills
Ability to organize and recall large amounts of detailed information
Ability to read, analyze and interpret benefit summary plan descriptions
Ability to comply with privacy and confidentiality standards