Cigna Work from Home Jobs – Physician Support Unit Representative I

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

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