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Customer Service Senior Representative - Accredo

Company: Cigna
Location: Saint Louis
Posted on: June 9, 2021

Job Description:

The Customer Service Senior Representative is responsible for handling customer service inquiries on the phone from a variety of callers related to PAP/pharmacy; place outbound calls for clarification; determine eligibility of applicant, and other program specific functions or medication related activities. Daily activities may switch depending upon volume within different operations groups and where the work is needed under the supervision of a pharmacist.

ESSENTIAL FUNCTIONS

  • Maintain accurate and complete documentation and system records of all inquiries to continuously improve the customer service experience and mitigate potential legal issues.
  • Report to the proper group any allergy, adverse events, or duplicate therapy warnings that appear.
  • Handle all inbound/outbound patient, physician, and physician advocate communications in a professional manner and within program guidelines.
  • Accurately enter eligibility paperwork, prescriptions, refills, and/or other information into system.
  • Maintain accurate and complete documentation of all applications, mailers, orders, enrollment forms and new patients. Process order rejections and follow-up activities.
  • Efficiently perform specialized functions for each program with a high level of accuracy. Aid department Lead/supervisor in developing other employees, answering questions, etc.
  • Enter and interpret program materials to determine enrollment criteria; explain to the caller or other employees the necessary requirements to be on the program.
  • Place outbound phone calls for clarification on any issues involving program or pharmacy guidelines. employees, answering questions, etc.

QUALIFICATIONS

  • High school degree or GED required.
  • 2 - 3 years of relevant working experience.
  • Ability to obtain and retain Pharmacy Technician License per state guidelines.
  • Proficiency with personal computers.
  • Excellent written and verbal communication skills.
  • Ability and willingness to work a flexible schedule to cover peak times.
  • Ability to adapt to a fast-paced environment quickly.
  • Ability to adapt to new situations that may arise due to program changes.
  • Ability to learn quickly, maintain accurate information, and made decisions with minimal supervision.

ABOUT THE DEPARTMENT

The Pharmacy Operations Group is crucial to achieving our mission of helping to achieve a more sustainable health care system and better health for all. Members of this team are on the front line every day - interacting with patients, strategizing on improvements and efficiencies, and processing more than one million prescriptions that come through our world-class pharmacies and distribution facilities across the country.

About Cigna

Cigna Corporation exists to improve lives. We are a global health service company dedicated to improving the health, well-being and peace of mind of those we serve. Together, with colleagues around the world, we aspire to transform health services, making them more affordable and accessible to millions. Through our unmatched expertise, bold action, fresh ideas and an unwavering commitment to patient-centered care, we are a force of health services innovation. When you work with us, or one of our subsidiaries, you'll enjoy meaningful career experiences that enrich people's lives. What difference will you make?

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: SeeYourself@cigna.com for support. Do not email SeeYourself@cigna.com for an update on your application or to provide your resume as you will not receive a response.

Keywords: Cigna, St. Louis , Customer Service Senior Representative - Accredo, Other , Saint Louis, Missouri

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