Bilingual Customer Service Representative Cigna - Miami, FL People want to be treated like individuals. At Cigna, we get that. That’s why we embrace and encourage peoples’ uniqueness, helping to give them the strength and confidence to show the world who they really are. The coverage, expertise and services we provide are at the very core of how we help people achieve their full potential – and ultimately, improve their health, well-being and sense of security. But before we can accomplish any of that, we have to have the right people in place. People like you. Skills, experience, talent and creativity like yours enables us to develop the meaningful, innovative solutions our customers value and expect. That’s why we’re committed to recruiting, motivating and nurturing the best and the brightest, whether you have industry experience or not. We’re growing a workforce as unique and diverse as the millions of customers we proudly serve around the world – one individual at a time. This position is responsible for the prompt and accurate handling of all incoming calls from providers, members, and Insurance Representatives. Provides claims status to providers. Requests review of claim by Adjuster if further research is required. Documents all incoming calls in Facets phone log. Documents all incoming records and itemized bills in Facets log. Interprets provider contracts, agreements, policies and procedures pertaining to benefit structures and administrative processes. Assists providers, members, and Insurance Representatives with questions and concerns. Meets and/or exceed all established production and quality standards. Performs other related duties as assigned. Adheres to LMCHP’s Service of Excellence Program. Responds to incoming phone calls in a prompt, pleasant and professional manner utilizing LMCHP’s phone etiquette. Demonstrates sensitivity of customers and company-related business. Communicates effectively with other departments to coordinate the delivery of service. Consistently communicates verbally and non-verbally in a manner that demonstrates a positive and cooperative attitude. Provides follow-up to requests for information and/or service in a timely manner. Arrives to work on time and is prepared to begin work. Keeps abreast of all new or revised LMCHP policies and procedures when posted or distributed. Notifies manager when overtime is anticipated. Works with staff and manager to develop processes to reduce overtime. Assists others when a staffing problem occurs. Reports as soon as possible any necessary absence. Participates in training and in-service education as required. Participates in department and clinic meetings as requested. Complies with LMCHP’s policies and procedures and maintains confidentiality of patient information in accordance with state and federal laws. Excellent oral and written communication and human relations skills required. Ability to work effectively in a team environment. High school diploma or equivalent required. Knowledge of medical terminology preferred. Experience in customer service within the healthcare field a must. Managed care or claims experience preferred. Procedure code and diagnosis coding knowledge preferred. Bilingual Spanish / English required Cigna offers a competitive compensation and comprehensive benefits package including health and wellness benefits, 401k plan, and work/life balance programs, as well as opportunities for career growth and development.
Posted on: Fri, 01 Nov 2013 15:42:43 +0000
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