eviCore healthcare Career Opportunities
Are you flexible regarding work schedules?
Are you able to accurately type at least 30 words per minute?
Do you have any previous medical, insurance or call center environment experience?
Are you able to adhere to a training schedule which requires a strict attendance policy in which NO DAYS may be missed?
Please note that this position is no longer available.
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Call Center Intake Representative
SC - Bluffton
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Entry level opportunity offering strong training, excellent benefits, advancement potential and the chance to help patients receive the care they need.

This is a great entry level opportunity for a motivated and service oriented individual to learn about insurance and the medical industry. It's a chance to help patients receive the care they need, while also building a career with a bright future. As Call Center Intake Representative, you will be responsible for taking inbound, non-clinical calls from physicians' offices, imaging centers and patients, gathering information and entering accurate data, processing requests, researching and resolving issues and more. If you have excellent communication skills, a commitment to service and the desire to learn and excel in your role, we will provide the tools and training you need to succeed. Consider the advantages of joining eviCore: eviCore healthcare is a medical benefit solutions company committed to making a positive impact in healthcare. It’s our passion, our purpose and our promise. Our mission is to help those we serve navigate the healthcare system, find the right care path and enable the best outcomes. In everything we do, we are guided by our core values of Integrity, Flexibility, Empathy and Collaboration. eviCore healthcare is growing rapidly and hiring to support that growth. 

The Requirements

As Call Center Intake Representative you'll need the flexibility to work any assigned shift between 7 a.m. and 7 p.m., Monday through Friday. Typically, you'll begin with a 8:30 a.m. to 5:00 p.m. training shift, which may be modified once you are fully acclimated, based upon company needs and available openings. Quick question for you - click here

To be a strong fit for the role, you will need:
  • A high school diploma or GED equivalent 
  • Excellent written and verbal communication skills, including active listening skills
  • Computer literacy, including:
    • The ability to type 30+ wpm with accuracy  Quick question for you - click here
    • Comfort using the Internet for research
    • The ability to effectively shift between open windows and applications
    • The skill to use common software such as MS Office, especially Word, and perform tasks such as Cut and Paste, and Copy
    • The ability to multitask, typing and moving between screens as you speak with callers, do research, complete paperwork, etc. *
  • A strong customer service orientation and commitment to providing outstanding service
  • Strong attention to detail
  • Professionalism and a strong work ethic; the ability to excel and meet your responsibilities in a highly structured environment
  • The ability to work independently and as a reliable team member
  • An upbeat attitude with a coachable persona
  • Inquisitiveness and the desire to continually learn and improve
Additionally, you must meet the basic requirement for the Call Center Intake Representative role, you must be legally authorized to work permanently in the U.S. for any employer without requiring a Visa transfer or Visa sponsorship. 

* As part of the hiring process, you will take a basic computer skills test.

The Role

Reporting to the Non-Clinical Supervisor, as Intake Representative, you will be responsible for processing requests for service, ensuring complete and accurate information, providing status updates, and serving as a liaison to the clinical staff when needed. In other words, you will initiate cases for patients, speaking with physicians offices and sites where the procedures will take place, capturing and entering the necessary background information, and building the case file.  

On a daily basis, you will work a set shift within one of our call centers, and take non-clinical inbound calls, primarily from physician’s offices and imaging centers, but also from patients. Quick question for you - click here  You will provide status updates, as requested, and process certification requests for radiological services, focusing on screening processes that do not require formal clinical review or judgment. You will gather information which you will enter into our system, as well as research and resolve any pre-certification issues. We currently support outpatient diagnostic and cardiac imaging, cardiac implantable devices, oncology drugs and therapeutic agents, radiation therapy, sleep, pain and lab services. As we continue to grow, we anticipate adding additional product lines. Change is a constant, so you must be able to adjust rapidly as products are added and/or processes change. 

More specifically, you will:
  • Complete training in pre-certification, utilization management, NCQA and URAC principles, policies, and procedures
  • Process clinical certification requests for radiological services from physician offices and/or imaging centers, collecting demographic information and entering data into the system
  • Perform focused screening processes that do not require formal clinical review and/or clinical judgment
  • Process Review of Service Request notifications that do not require certification of medical necessity
  • Promptly transfer Review of Services calls which cannot be completed via the formal script to a Clinical First Level Reviewer or Medical Reviewer for completion  
  • Work with sites, patients and physician’s offices to investigate and resolve any pre-certification questions or concerns
  • Provide professional, courteous and accurate information to all callers
  • Maintain a working knowledge of all process and procedure changes, CPT (Current Procedural Terminology) coding and updated training materials, and use these changes and processes accordingly
  • Prepare program correspondence as needed
  • Perform various clerical functions as needed and directed by the Non-Clinical Supervisor
Upon joining us, you will undergo extensive training. Once you’ve completed the training, you will begin working at your assigned call center, taking inbound calls. You will wear a headset and take calls throughout the day, keeping in mind goals and established metrics (scorecard) to guide your performance. It’s often busy and you will take one call after another -- approximately 75 and 120 per day. You must be able to manage multiple tasks (Internet searches, typing, questioning, etc.) while you’re on the phone. The ability to multitask will be key. 

Note: this description is intended to give you a general overview of the position and is not an exhaustive listing of duties and responsibilities.

Why eviCore

Foundation for career growth – this is prime role to begin building your career with eviCore because it will provide the solid foundation you need to further advance your career. You'll gain a good deal of knowledge through training and practice that can open multiple paths of advancement. 

Outstanding training – upon joining us, you will go through three to four weeks of classroom training with a group of other Call Center Intake Representatives. You'll have the opportunity to learn the eviCore healthcare way, our processes, procedures and systems, medical terminology, various health plans and much more. You will enjoy a "Learning Lab" environment where you will do a good deal of role play, take mock calls, use online resources, observe and more. Additionally, you'll have more training once you have worked in the role for a while, and ongoing training as needed. 

Career advancement -- prove yourself in this role and there are numerous positions, depending upon your skills and desire, which you could pursue. For example, you could work up to a team supervisor, move to a project-based role, a training position, business analyst…the sky’s the limit. If you’re pursuing a medical education while working as a Call Center Intake Representative, you could also advance through the clinical side of the business.

Not your typical call center role -- we've already said it, but it's worth repeating here. This is not collections, not retail, not banking...this is a medical role. While other call center roles are perfectly viable careers, there's a different feeling in this industry. You can feel good knowing that your efforts will help deliver medical benefit solutions that benefit everyone: payers, providers and patients alike. Your efforts will impact lives day after day; your work will matter.  

High growth company – we're experiencing strong growth, both organic and through mergers and acquisitions. For example, recently the complementary talents, technologies and tactical acumen of CareCore and MedSolutions unified to become eviCore healthcare. For more information on our growth, please see the About eviCore tab. That growth will continue moving forward, generating even more opportunities.

Critical mission – eviCore healthcare is committed to making sure that every patient receives exactly the health care they need. We know that every patient has a unique condition and medical history, so we manage tests and/or treatments to make sure they meet the latest standards of care to deliver the best possible outcomes. As a result we help to eliminate the cost and time wasted with inappropriate tests or treatments, while ensuring the highest levels of patient safety.You can feel pride knowing that your efforts will help both your patients and the ailing healthcare system.

Performance-based environment -- we promote a performance-based, not seniority-based, work environment. That means you can earn perks, rather than waiting for someone else to leave before you can excel. For example, outstanding candidates in some call center locations can earn the opportunity to work virtually from a home office. Others have earned a 4/10 work schedule (4 days per week / 10 hours per day).  .  

Excellent compensation – in addition to a competitive wage, eviCore healthcare offers a comprehensive benefits package including health insurance, dental coverage, a 401(k), tuition reimbursement, paid vacations and holidays, life insurance coverage and the tools and equipment necessary to perform your role from your home office (telephone and computer).

Keys to Success

This is a role requiring in-depth training and consistency of coverage. As already noted, upon joining us, you will receive a good deal of training before you can begin taking live calls. To succeed in the role, you must first succeed in the Learning Lab. Training continually builds on what was taught the day before, so you must attend every day of training.  Quick question for you - click here

Once trained, you will work a set 40-hour schedule, with two breaks and a half hour lunch. Outside of those breaks you will be expected to be at your desk working and supporting the team, as they will also support you. 
 
Additionally, you will need to be skilled at the nuts and bolts of the work. Comfort balancing multiple tasks, and working effectively with the technology (hardware and software) will be critical. Your customer service skills will be top-notch and your attitude will be upbeat. Because our culture is performance-based, we check our egos at the door and open our minds to learning. You must be able to receive guidance meant to help you improve and meet your performance goals (scorecard).  If you’re open to learning and can adapt to change, you will do very well at eviCore.

About eviCore

eviCore healthcare was founded in 1994 to provide comprehensive, customized programs to improve the use of diagnostic imaging and enhance the quality of care. eviCore healthcare’s innovative and quality-driven approach to radiology utilization management has made it the country’s fastest-growing outpatient diagnostic imaging utilization management services provider.

Building on our success, eviCore expanded its offering to include two highly specialized areas of care: cardiology and oncology. In 2005, eviCore launched eviCore Cardiology to manage cardiac care, including cardiac imaging and implantable devices. In 2007, eviCore launched eviCore Oncology to manage the use of oncology drugs and therapeutic agents. In 2008, eviCore added programs for sleep apnea, pain musculoskeletal management and lab services, which include high-cost genome testing.

eviCore healthcare ensures quality of healthcare by embracing the latest standards of care, deploying evidence-based models and managing treatment and diagnosis to achieve the best possible outcomes. We do this by using state-of-the-art technology and evidence-based criteria. All eviCore programs improve quality, streamline patient care and reduce cost. As our growing client list includes some of America’s most popular and trusted health plans, eviCore healthcare currently manages treatment affecting more than 30 million people.
 

Entry level opportunity offering strong training, excellent benefits, advancement potential and the chance to help patients receive the care they need.

This is a great entry level opportunity for a motivated and service oriented individual to learn about insurance and the medical industry. It's a chance to help patients receive the care they need, while also building a career with a bright future. As Call Center Intake Representative, you will be responsible for taking inbound, non-clinical calls from physicians' offices, imaging centers and patients, gathering information and entering accurate data, processing requests, researching and resolving issues and more. If you have excellent communication skills, a commitment to service and the desire to learn and excel in your role, we will provide the tools and training you need to succeed. Consider the advantages of joining eviCore: eviCore healthcare is a medical benefit solutions company committed to making a positive impact in healthcare. It’s our passion, our purpose and our promise. Our mission is to help those we serve navigate the healthcare system, find the right care path and enable the best outcomes. In everything we do, we are guided by our core values of Integrity, Flexibility, Empathy and Collaboration. eviCore healthcare is growing rapidly and hiring to support that growth. 

The Requirements

As Call Center Intake Representative you'll need the flexibility to work any assigned shift between 7 a.m. and 7 p.m., Monday through Friday. Typically, you'll begin with a 8:30 a.m. to 5:00 p.m. training shift, which may be modified once you are fully acclimated, based upon company needs and available openings. Quick question for you - click here

To be a strong fit for the role, you will need:
  • A high school diploma or GED equivalent 
  • Excellent written and verbal communication skills, including active listening skills
  • Computer literacy, including:
    • The ability to type 30+ wpm with accuracy  Quick question for you - click here
    • Comfort using the Internet for research
    • The ability to effectively shift between open windows and applications
    • The skill to use common software such as MS Office, especially Word, and perform tasks such as Cut and Paste, and Copy
    • The ability to multitask, typing and moving between screens as you speak with callers, do research, complete paperwork, etc. *
  • A strong customer service orientation and commitment to providing outstanding service
  • Strong attention to detail
  • Professionalism and a strong work ethic; the ability to excel and meet your responsibilities in a highly structured environment
  • The ability to work independently and as a reliable team member
  • An upbeat attitude with a coachable persona
  • Inquisitiveness and the desire to continually learn and improve
Additionally, you must meet the basic requirement for the Call Center Intake Representative role, you must be legally authorized to work permanently in the U.S. for any employer without requiring a Visa transfer or Visa sponsorship. 

* As part of the hiring process, you will take a basic computer skills test.

The Role

Reporting to the Non-Clinical Supervisor, as Intake Representative, you will be responsible for processing requests for service, ensuring complete and accurate information, providing status updates, and serving as a liaison to the clinical staff when needed. In other words, you will initiate cases for patients, speaking with physicians offices and sites where the procedures will take place, capturing and entering the necessary background information, and building the case file.  

On a daily basis, you will work a set shift within one of our call centers, and take non-clinical inbound calls, primarily from physician’s offices and imaging centers, but also from patients. Quick question for you - click here  You will provide status updates, as requested, and process certification requests for radiological services, focusing on screening processes that do not require formal clinical review or judgment. You will gather information which you will enter into our system, as well as research and resolve any pre-certification issues. We currently support outpatient diagnostic and cardiac imaging, cardiac implantable devices, oncology drugs and therapeutic agents, radiation therapy, sleep, pain and lab services. As we continue to grow, we anticipate adding additional product lines. Change is a constant, so you must be able to adjust rapidly as products are added and/or processes change. 

More specifically, you will:
  • Complete training in pre-certification, utilization management, NCQA and URAC principles, policies, and procedures
  • Process clinical certification requests for radiological services from physician offices and/or imaging centers, collecting demographic information and entering data into the system
  • Perform focused screening processes that do not require formal clinical review and/or clinical judgment
  • Process Review of Service Request notifications that do not require certification of medical necessity
  • Promptly transfer Review of Services calls which cannot be completed via the formal script to a Clinical First Level Reviewer or Medical Reviewer for completion  
  • Work with sites, patients and physician’s offices to investigate and resolve any pre-certification questions or concerns
  • Provide professional, courteous and accurate information to all callers
  • Maintain a working knowledge of all process and procedure changes, CPT (Current Procedural Terminology) coding and updated training materials, and use these changes and processes accordingly
  • Prepare program correspondence as needed
  • Perform various clerical functions as needed and directed by the Non-Clinical Supervisor
Upon joining us, you will undergo extensive training. Once you’ve completed the training, you will begin working at your assigned call center, taking inbound calls. You will wear a headset and take calls throughout the day, keeping in mind goals and established metrics (scorecard) to guide your performance. It’s often busy and you will take one call after another -- approximately 75 and 120 per day. You must be able to manage multiple tasks (Internet searches, typing, questioning, etc.) while you’re on the phone. The ability to multitask will be key. 

Note: this description is intended to give you a general overview of the position and is not an exhaustive listing of duties and responsibilities.

Why eviCore

Foundation for career growth – this is prime role to begin building your career with eviCore because it will provide the solid foundation you need to further advance your career. You'll gain a good deal of knowledge through training and practice that can open multiple paths of advancement. 

Outstanding training – upon joining us, you will go through three to four weeks of classroom training with a group of other Call Center Intake Representatives. You'll have the opportunity to learn the eviCore healthcare way, our processes, procedures and systems, medical terminology, various health plans and much more. You will enjoy a "Learning Lab" environment where you will do a good deal of role play, take mock calls, use online resources, observe and more. Additionally, you'll have more training once you have worked in the role for a while, and ongoing training as needed. 

Career advancement -- prove yourself in this role and there are numerous positions, depending upon your skills and desire, which you could pursue. For example, you could work up to a team supervisor, move to a project-based role, a training position, business analyst…the sky’s the limit. If you’re pursuing a medical education while working as a Call Center Intake Representative, you could also advance through the clinical side of the business.

Not your typical call center role -- we've already said it, but it's worth repeating here. This is not collections, not retail, not banking...this is a medical role. While other call center roles are perfectly viable careers, there's a different feeling in this industry. You can feel good knowing that your efforts will help deliver medical benefit solutions that benefit everyone: payers, providers and patients alike. Your efforts will impact lives day after day; your work will matter.  

High growth company – we're experiencing strong growth, both organic and through mergers and acquisitions. For example, recently the complementary talents, technologies and tactical acumen of CareCore and MedSolutions unified to become eviCore healthcare. For more information on our growth, please see the About eviCore tab. That growth will continue moving forward, generating even more opportunities.

Critical mission – eviCore healthcare is committed to making sure that every patient receives exactly the health care they need. We know that every patient has a unique condition and medical history, so we manage tests and/or treatments to make sure they meet the latest standards of care to deliver the best possible outcomes. As a result we help to eliminate the cost and time wasted with inappropriate tests or treatments, while ensuring the highest levels of patient safety.You can feel pride knowing that your efforts will help both your patients and the ailing healthcare system.

Performance-based environment -- we promote a performance-based, not seniority-based, work environment. That means you can earn perks, rather than waiting for someone else to leave before you can excel. For example, outstanding candidates in some call center locations can earn the opportunity to work virtually from a home office. Others have earned a 4/10 work schedule (4 days per week / 10 hours per day).  .  

Excellent compensation – in addition to a competitive wage, eviCore healthcare offers a comprehensive benefits package including health insurance, dental coverage, a 401(k), tuition reimbursement, paid vacations and holidays, life insurance coverage and the tools and equipment necessary to perform your role from your home office (telephone and computer).

Keys to Success

This is a role requiring in-depth training and consistency of coverage. As already noted, upon joining us, you will receive a good deal of training before you can begin taking live calls. To succeed in the role, you must first succeed in the Learning Lab. Training continually builds on what was taught the day before, so you must attend every day of training.  Quick question for you - click here

Once trained, you will work a set 40-hour schedule, with two breaks and a half hour lunch. Outside of those breaks you will be expected to be at your desk working and supporting the team, as they will also support you. 
 
Additionally, you will need to be skilled at the nuts and bolts of the work. Comfort balancing multiple tasks, and working effectively with the technology (hardware and software) will be critical. Your customer service skills will be top-notch and your attitude will be upbeat. Because our culture is performance-based, we check our egos at the door and open our minds to learning. You must be able to receive guidance meant to help you improve and meet your performance goals (scorecard).  If you’re open to learning and can adapt to change, you will do very well at eviCore.

About eviCore

eviCore healthcare was founded in 1994 to provide comprehensive, customized programs to improve the use of diagnostic imaging and enhance the quality of care. eviCore healthcare’s innovative and quality-driven approach to radiology utilization management has made it the country’s fastest-growing outpatient diagnostic imaging utilization management services provider.

Building on our success, eviCore expanded its offering to include two highly specialized areas of care: cardiology and oncology. In 2005, eviCore launched eviCore Cardiology to manage cardiac care, including cardiac imaging and implantable devices. In 2007, eviCore launched eviCore Oncology to manage the use of oncology drugs and therapeutic agents. In 2008, eviCore added programs for sleep apnea, pain musculoskeletal management and lab services, which include high-cost genome testing.

eviCore healthcare ensures quality of healthcare by embracing the latest standards of care, deploying evidence-based models and managing treatment and diagnosis to achieve the best possible outcomes. We do this by using state-of-the-art technology and evidence-based criteria. All eviCore programs improve quality, streamline patient care and reduce cost. As our growing client list includes some of America’s most popular and trusted health plans, eviCore healthcare currently manages treatment affecting more than 30 million people.
 
eviCore healthcare is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability or protected veteran status.

If you are a qualified individual with a disability or a disabled veteran, you have the right to request an accommodation if you are unable or limited in your ability to use or access our career center as a result of your disability.
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