Job Description: 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. Job Responsibilities: Maintaining a working knowledge of all process and procedure changes, CPT coding and updated training materials and use these changes and processes according Giving professional, courteous, and accurate information to all callers. Working with sites, patients, and physicians offices to investigate and resolve any pre-certification issues and know where to transfer calls when appropriate. Educating callers about the Health Plan requirements for pre-authorizations, reconsiderations, and appeals Job Requirements: Analytical and well versed in Health Plan specific rules, regulatory and statutory Ability to learn and adapt quickly in a fast-paced environment Customer service focused with excellent communication skills Proficient in Isaac/Image One and case build required Qualification & Experience: Experience with data entry and customer service. High School graduate or higher education. Previous customer service, medical experience, including medical terminology, medical billing and managed care preferred. Job Details: Company: Cigna Vacancy Type: Full Time Job Location: Wilkes, Barre PA, US Application Deadline: N/A Apply Here careersvite.com
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