eviCore healthcare is hiring a Customer Service Representative to join our team remotely. In this role, you will manage inbound calls from Health Plan clients, providers, and imaging centers seeking pre-authorization. You'll help manage benefit needs from start to finish while delivering excellent patient-provider care.
What You'll Do
- Accept a daily average of 100-125 inbound calls from Health Plan clients, providers, and imaging centers seeking pre-authorization.
- Properly handle and verify patient records under HIPAA and PHI guidelines, securing confidentiality for each call.
- Accept multiple back-to-back calls utilizing various applications on multiple screens and accurately enter all patient, provider, and imaging center data.
- Follow the complete formal script pathway with each caller, identifying and transferring any calls that cannot be resolved via the script.
- Remain client-focused at all times, with the ability to independently resolve customer inquiries and complaints with one-call resolution.
- Attend 100% of the 8-week training, which will include live-call participation.
- Meet or exceed all performance metrics through accurate call handling and high-quality calls.
What We're Looking For
- High School diploma or equivalent
Nice to Have
- Prior customer service background
Technical Stack
- Microsoft Outlook
Benefits & Compensation
- Medical, vision, dental, and well-being and behavioral health programs starting day one
- 401(k) with company match
- Company paid life insurance
- Tuition reimbursement
- Minimum of 18 days of paid time off per year and paid holidays
- Annual bonus plan eligibility
- Compensation: $17.75 - $19 USD / hourly
Work Mode
This is a fully remote position.
eviCore healthcare is committed to making a positive impact on healthcare and employees. We value an engaged, coachable, upbeat attitude, team players, and individuals who are flexible, open-minded, and able to adapt positively to business changes.
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.
