Remote Pharmacy Benefit Advisor

Cigna Health and Life Insurance Company; Northern (KY); Hybrid; USD 23,000 - 26,000; Full time

Benefits offered by this job

Medical, vision, dental benefits

401(k)

Company paid life insurance

Tuition reimbursement

18 days PTO per year

Paid holidays

Job summary

The Cigna Group is seeking a customer service professional to handle inbound calls about pharmacy benefits and Medicare, support home delivery processes, and ensure HIPAA-compliant documentation. You will advocate for members, coordinate with physician offices, and help resolve issues to ensure timely shipments.

Training is 8 weeks with a flexible post-training schedule, including nights and weekends. A remote work setup is allowed, with minimum internet requirements and eligibility for an

Qualifications

• High School diploma or equivalent required.
• At least 2 years of relevant Healthcare and/or Call Center experience.
• Dedicated workspace with no distractions is required.
• Tech Savvy with strong computer skills including Microsoft Office.

Responsibilities

• Answer inbound calls from members, providers, and pharmacies with questions about PBM benefits, mail-order pharmacies, or Medicare.
• Tackle calls back-to-back while toggling through several applications on multiple screens.
• Ensure accurate and complete documentation in the systems to maintain HIPAA compliance and shipment accuracy.
• Advocate for the member by calling physicians to obtain prescriptions and forward to pharmacy for fulfillment.
• Resolve questions and issues preventing shipment of orders and meet call center metrics.

Skills

Healthcare experience

Call center experience

Excellent communication

Education

High School diploma or equivalent

Tools

Microsoft Office

Job description

The Cigna Group is seeking a customer service professional to handle inbound calls about pharmacy benefits and Medicare, support home delivery processes, and ensure HIPAA-compliant documentation. You will advocate for members, coordinate with physician offices, and help resolve issues to ensure timely shipments.

Training is 8 weeks with a flexible post-training schedule, including nights and weekends. A remote work setup is allowed, with minimum internet requirements and eligibility for an