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Customer Service Senior Representative - Express Scripts- Remote

The Cigna Group
United StatesRemotefull_timeVerifiedPosted 6 Jan 2025

About the role

MUST BE LOCATED WITHIN 50 MILES OF 2410 WARDLOW ROAD, CORONA, CA, 92880.

Works within the fast-paced environment of the Central Nursing Team to complete non-clinical projects and functions to deliver straightforward administrative and/or other basic business services in Customer Service.  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, performing research to respond to inquiries and interpreting to determine most effective response timely. 

Works with Nurse Managers/Supervisors, field staff, and patients to schedule visits for home infusion within a region of branches.  Completes all nurse assignments for patients, reschedules visits based on patient availability, staff new patients with appropriate nurses, and proactively monitors all patient appointments to confirm accuracy. Works with pharmacy, reimbursement, and nursing departments as coordinator for nursing referrals.  Works with various staff, departments, and prescribers via fax, email, IM, and phone.  Monitors both personal email as well as nursing mailboxes for follow up needed, prioritizing by ask.  Manipulates multiple Excel documents to determine what needs to be completed and urgency of completion.  Responds timely to inquiries from patients, field staff, and other departments for information and assistance regarding nursing and patient referrals and schedules.

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.
  • High proficiency and regular use of Excel and Outlook.

QUALIFICATIONS

  • High School education or GED.
  • 5+ years of relevant Customer Service experience.
  • 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 - 26 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 ex

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Company

The Cigna Group

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