Customer Service Advocate – Patient Care - Express Scripts - Remote jobs in United States
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Cigna Healthcare · 6 hours ago

Customer Service Advocate – Patient Care - Express Scripts - Remote

Cigna Healthcare is dedicated to improving the health and vitality of those they serve. They are seeking a Customer Service Advocate who will support retail pharmacies by responding to claim inquiries and resolving patient concerns with empathy and attention to detail.

Hospital & Health Care
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H1B Sponsor Likelynote

Responsibilities

Support retail pharmacies with confidence: Serve as the primary point of contact for pharmacy staff, providing accurate patient and benefit information
Resolve claim rejections: Research and troubleshoot prescription claim issues, guiding pharmacies through resolution steps to ensure timely medication access
Answer pharmacy inquiries directly: Respond to retail pharmacies regarding patient eligibility, benefit coverage, and prior authorization requirements
Document interactions in real time: Capture all details accurately during calls to maintain compliance and ensure seamless follow-up
Escalate complex issues appropriately: Identify situations requiring additional support and route them to the correct team for resolution

Qualification

Customer Service ExperiencePharmacy Benefit KnowledgeClaim TroubleshootingMicrosoft ExcelHIPAA ComplianceVerbal CommunicationWritten CommunicationTeam-orientedProblem-solving

Required

High School Diploma or GED (required)
1+ year of relevant experience in Customer Service required
Proficiency with Microsoft Excel and general PC skills
Strong verbal and written communication skills
Experience handling pharmacy benefit inquiries and claim troubleshooting
Ability to troubleshoot claims rejections and pharmacy concerns and guide Pharmacists through resolution steps
Familiarity with HIPAA compliance and patient confidentiality standards
Ability to work in a fast-paced, team-oriented setting

Preferred

6 months+ of Pharmacy Help Desk knowledge preferred

Benefits

Medical
Vision
Dental
Well-being and behavioral health programs
401(k)
Company paid life insurance
Tuition reimbursement
A minimum of 18 days of paid time off per year
Paid holidays

Company

Cigna Healthcare

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We are a health benefits provider that advocates for better health through every stage of life.

H1B Sponsorship

Cigna Healthcare has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (442)
2024 (335)
2023 (324)

Funding

Current Stage
Late Stage

Leadership Team

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Laura Cascudo
CEO Communications Operations / Communications Operations Director
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Stephanie Bobb
CEO Communications Operations Lead
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Company data provided by crunchbase