Customer Service Senior Representative- Express Scripts- Remote

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 (includin