Cigna Job Openings – Patient Service Coordinator II

Job Description:

The Patient Services Coordinator II 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.

Job Responsibilities:

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

Job Requirements:

• 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.
• Ability and willingness to work a flexible schedule to cover peak times.

Qualification & Experience:

• Excellent written and verbal communication skills.
• Proficiency with personal computers.
• Ability to obtain and retain Pharmacy Technician License per state guidelines.
• High school degree or GED required.
• 2 – 3 years of relevant working experience.

Job Details:

Company: Cigna

Vacancy Type: Full Time

Job Functions: Health Care Provider

Job Location: St. Louis, MO, US

Application Deadline: N/A

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