
Mental Health Customer Service Representative
Posted 2 days ago

Posted 2 days ago
This is a fully remote position, open to applicants in Ohio.
• Serve as the representative of the organization for clinics, physicians, medical personnel, and patients.
• Address intricate inbound and outbound customer inquiries with compassion.
• Assess test request forms and accompanying documents submitted with patient samples.
• Collaborate with healthcare providers to finalize necessary documentation and sample submissions.
• Verify insurance eligibility and benefit levels.
• Clarify insurance coverage, testing details, processes, and turnaround times to patients.
• Allocate approximately 60–80% of work hours to phone interactions.
• Independently oversee assigned tasks while achieving production and quality objectives.
• Coordinate with technology, revenue cycle, field sales, and laboratory teams regarding orders and billing procedures.
• Recognize issues and trends, working alongside team members and leadership to establish best practices.
• Engage in the Quality Assurance program.
• Adhere to relevant CLIA and HIPAA regulations.
• High School diploma or its equivalent is required, with a minimum of 1 year of pertinent experience, or an associate or bachelor’s degree.
• Proficiency in Spanish is preferred and encouraged.
• Exceptional interpersonal and communication abilities.
• Preference will be given to applicants with a higher net typing speed.
• Strong listening, transcribing, and self-review capabilities.
• Experience with PCs, including knowledge of Excel, Word, the Internet, and email.
• Capable of managing multiple tasks simultaneously, often in high-pressure situations.
• Strong organizational and task management skills, along with professional judgment.
• Enjoys problem-solving and recognizing patterns.
• A dedicated individual who thrives in a team environment and supports colleagues.
• Able to perform sedentary work and occasionally exert up to 10 pounds of force.
• Capable of fulfilling required stationary positioning, moving, operating, ascending/descending, communicating, observing, pushing or pulling, and reaching.
• Proficient in using equipment and tools essential for performing key job functions.
• Comprehensive health insurance options.
• Opportunities for professional development and training.
• Supportive and collaborative work environment.
• Flexible work hours.
• Employee wellness programs.
Kled AI
Kled AI
Kled AI
The Cigna Group
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