Behavioral Health Customer Service Patient Advocate Eden Prairie Location
Location: Eden Prairie, Minnesota
Description: Cigna is at present recruited Behavioral Health Customer Service Patient Advocate Eden Prairie Location right now, this occupation will be reside in Minnesota. For detail informations about this occupation opportunity kindly see the descriptions. CIGNA's Mission: To help the people we serve improve their health, well-being and sense of security.
At CIGNA, we are committed to providing our customers with benefits, expertise, and services that improve their health, well-being, and sense of security. Our people are the key to success in a changing and increasingly competitive marketplace. The collective skills, behaviors, and work experiences of all CIGNA employees enable us to make a real difference in the lives of our customers. We seek the most talented and creative minds in the industry to develop innovative solutions our customers value and expect. CIGNA is committed to recruiting, developing, motivating, and retaining a diverse workforce representing the best and brightest both inside and outside of our industry - a workforce that reflects our customers and the communities where we operate.
Assigns client to appropriate staff member or behavioral health network provider for assessment and counseling. Serves as initial contact for clients and their eligible dependents requesting services. Responsible for customer service and relevant standards such as telephone response time. May make referrals within stated limits. Acts as a resource to others on non-routine work. Supports and assists with training for employees. May provide guidance around procedures and workflows. Experience level: 2-4 years
Service and process explanation.
Authorizations.
Benefit and eligibility interpretation.
Claims and billing explanation and resolution.
Follow up and service satisfaction.
Problem solve independently to ensure exceptional client service.
Utilize telephony, web and internal materials to achieve first time resolution for callers.
Educate members on parameters of services and benefit design.
Identify presenting issues through assessment skills.
Quality indicators 90% or higher.
Supports and assists Care Management in crisis calls.
Bachelor degree or equivalent in mental health field or psychology/social work related field.
Knowledge of the healthcare industry, behavioral knowledge a plus.
Ability to analyze complex information and participate in drawing relevant conclusions.
Entrepreneurial spirit and willingness to try something new.
Ability to be flexible in order to accommodate for the necessary team initiatives.
Ability to work independently as well as part of a team.
Previous customer service experience or related position a plus.
Two years experience in a mental health, social service or insurance setting preferred.
Ability to take on additional tasks assigned and still be productive and supportive to team and incoming volume.
Ability to judge severity of crisis and delegate to a Care Manager when necessary.
Ability to maintain a high level of working knowledge about CHS¿s customer and products.
Ability to recognize and follow up on service issues.
Excellent Excel and Word processing skills, ability to type proficiently, strong PC skills/work processing experience
Excellent organizational skills to facilitate the coordination and completion of multiple and varied requests
Written and oral communication skills that allow clear and concise presentation of conclusions and recommendations to a variety of audiences.
Self-starter with the ability to be effective in a large, complex and highly matrixed organization.
Ability to focus on both the details and "big picture" at the same time
Ability to convey empathy via telephonic interaction
Problem solving skills
Timely attendance
Ability to lead conversation
Ability to utilize de-escalation skills and remain calm and focused in emotional situations with members on the phone
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.
We encourage you to complete all questions on the candidate profile if you wish to be considered for this opportunity.
CIGNA is an Equal Opportunity Employer
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If you were eligible to this occupation, please send us your resume, with salary requirements and a resume to Cigna.
Interested on this occupation, just click on the Apply button, you will be redirected to the official website
This occupation starts available on: Sat, 08 Sep 2012 13:23:15 GMT
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