Customer Service Senior Representative -Express Scripts

Are you looking for a position that will allow you to use your knowledge and expertise to collaborate with our internal and external partners including the manufacturers, healthcare providers, and organizations to provide access to life-saving products for Rare Disease patients? Responsibilities: Provides best in class customer services to our patients, caregivers, manufacturers and internal and external partners. Performs data entry tasks in multiple systems. Follows up via phone, mail, and/or fax for missing enrollment information and documents interactions accordingly. Answer inbound calls and adheres to program-approved talking points and/or scripting for all inbound and outbound call interactions. Understanding of insurance benefits and experience verifying insurance coverage for commercial, Medicaid and Medicare plans. Coordinates access to appropriate support services, including reimbursement counseling, Patient Access and Copay Assistance programs, and general support. Identifies and escalates repetitive questions and /or problems so that corrective action can be pursued and expedited. Makes independent judgments in order to respond to complex or critical reimbursement issues. Special projects and other duties as assigned. Qualifications: High School diploma or GED Ability to maintain effective relationships with client base to ensure the effective delivery of superior customer service. Ability to resolve customer issues through process expertise without having to escalate to higher levels of Management but also understands when higher level of authorization is required. Responsible for compiling and maintaining KPI reports for internal and external clients. The candidate will need a friendly, confident disposition, a passion for talking on the phone, inquisitive and helpful nature, and a natural sense of curiosity. 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 17.98 – 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 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. Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.