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Customer Service Senior Representative- Express Scripts- Remote

TCG

Location
United States
Base Salary
35k-52k USD
The Cigna Group

Job Description

Works within the fast paced environment of the Central Nursing Team to complete non-clinical projects and functions. As a first line of contact, this role will independently assist both internal and external clients within scope by clarifying and researching desired information and resolving non-clinical problems within the nursing department. Works with Nurse Supervisors, Nurse Managers, and field staff to schedule patient visits for home infusion to achieve quarterly and annual established targets. Works with pharmacy, reimbursement, and nursing departments as a coordinator of nursing referrals to coordinate and staff start of care referrals. Provides timely submission and follow up of nursing orders, promotes communication with nursing leadership and sales, and follows up with prescribers appropriately based on cert period guidelines with review of the next visit date. Leads with flexibility to meet department needs and communicate any issues via the nursing mailbox. Delivers straightforward administrative and/or other basic business services in Customer Service. Works with various staff, departments and prescribers via efax, email, IM, nursing mailboxes, and phone. Responds within specified timelines to inquiries from patients, field staff, and other departments for information and assistance. Position requires excellent problem solving and interpersonal skills, critical thinking, multi-tasking, retention, and flexibility. Independently responds to inquiries ranging from routine to moderate complexity. Issues tend to be routine in nature. Good knowledge and understanding of Customer Service and business/operating processes and procedures. Enhance organization reputation by accepting ownership for responding to new and different requests. Escalate issues as necessary.

ESSENTIAL FUNCTIONS

  • Use of pharmacy and scheduling programs for documentation and nurse scheduling of home infusion visits.
  • Proactively communicate to field staff, nurse management, and patients.
  • Investigate/research issues and provide resolution.
  • Take initiative for problem solving with ability to multitask effectively and use critical thinking.
  • Correct and timely entry of data in appropriate systems.
  • A pro-active work ethic with ability to be managed/trained virtually
  • Proficiency and use of Excel and Outlook

QUALIFICATIONS

  • High School education or GED.
  • 5+ years of relevant Customer Service experience.
  • Previous Healthcare experience preferred
  • Microsoft Office Suite.
  • Extremely detailed oriented.
  • Excellent written and oral professional communication skills.
  • Ability to adapt in a dynamic work environment, learn quickly, solve problems, and make independent decisions.
If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.For this position, we anticipate offering an hourly rate of 17 - 25 USD / hourly, depending on relevant factors, including experience and geographic location.

This role is also anticipated to be eligible to participate in an annual bonus plan.

We want you to be healthy, balanced, and feel secure. That’s why you’ll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you’ll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k) with company match, company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, visit Life at Cigna Group.

About Evernorth Health Services

Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality. We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people. Join us in driving growth and improving lives.

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.

If you require reasonable accommodation in completing the online application process, please email: [email protected] for support. Do not email [email protected] for an update on your application or to provide your resume as you will not receive a response.

The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.

Advice from our career coach

A successful applicant for this position should be highly detail-oriented, possess exceptional problem-solving and interpersonal skills, and have the ability to multitask effectively. Here are some specific tips to help applicants stand out:

  • Ensure you have at least 5 years of relevant Customer Service experience, as this is a requirement for the role.
  • Demonstrate previous Healthcare experience, as it is preferred for this position.
  • Show proficiency in Microsoft Office Suite, especially Excel and Outlook.
  • Highlight your excellent written and oral communication skills, as clear communication is essential for this role.
  • Emphasize your ability to adapt in a dynamic work environment, learn quickly, solve problems, and make independent decisions, as these are key skills needed.
  • Make sure to showcase your proactive work ethic and ability to be managed/trained virtually.
  • If you will be working remotely, ensure you have a reliable internet connection with speeds of at least 10Mbps download/5Mbps upload.
  • Be prepared to discuss your experience with using pharmacy and scheduling programs for documentation as well as nurse scheduling of home infusion visits.
  • Be ready to provide examples of investigating and resolving issues, proactively communicating with field staff, nurse management, and patients, and correct and timely entry of data in appropriate systems.

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About the job

Jun 13, 2024

Full-time

35k-52k USD

  1. US United States

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