Patient Care Coordinator at Cigna in Los Angeles, California

Job Description:

Patient Care Coordinator

The VFP Pharmacy Group Patient Care Coordinator works under the direction of our Operations Supervisor to compassionately and efficiently assist patients, provider offices and clients via the telephone, email or chat. They are expected to process prescription claims including data entry into the pharmacy processing system and to adjudicate claims to payers. The PCC is also expected to answer and field questions from internal and external business partners via telephone and email. They will work to ensure VFP remains complaint, ethical, adherent to pertinent regulations and laws, and promotes an open, inclusive, and patient-centric culture. Daily tasks will include department tasks, workflow, aligned processes across all VFP locations (as needed). The PCC works closely with our Call Center Technicians and operates under the supervision of the clinical pharmacist teams.

Essential Functions

• Delivers superior customer service and can work professionally in pharmacy environment


• Interacts professionally with pharmacists, medical providers, consultants, and other staff


• Accurately obtain and enter patient information, including shipping, insurance and payment information.


• Entering Prescriptions into pharmacy operating system accurately via knowledge of medical terminology including sig codes and brand/generic medication. Other pharmacy terminology familiarity preferred


• Responsible for identifying prescription errors and anomalies and escalating as necessary


• Responsible for identifying and managing payer requirements within utilization and waste management with pharmacist assistance


• Responsible for identifying prescription errors and anomalies and escalating as necessary


• Responsible for identifying and managing payer requirements within utilization and waste management with pharmacist assistance


• Exercises good team collaboration to ensure order timeliness, quality and service metrics are routinely achieved


• Collaborates with members of health disciplines in the interest of the patient's health care


• Refers patients to available resources in a timely manner


• Brings a winning attitude to work each day


• Other duties as assigned

• High School Diploma or equivalent


• California Pharmacy Technician License preferred


• Must be available to work an 8-hour shift Monday through Friday, within the hours of 8:30am-6pm occasional holidays & rotating weekends


• Minimum 1-3 years of call center experience, preferably in healthcare, insurance or specialty pharmacy setting


• Strong working knowledge of HIPAA and other pertinent and applicable laws and regulations surrounding pharmacy and patient care


• Strong technical knowledge of pharmacy processing system and phone systems


• Ability to problem solve, think critically, and improve workflow procedures


• Proven track record for handling large volume of inbound and outbound calls in a quality, compliant, and patient-centric fashion


• Next-level compassion and empathy required to assist sensitive patient population


• Ability to think holistically and continuous improvement mindset is essential


• Excellent verbal and written communication skills required


• Strong organizational skills, attention to detail and problem-solving skills


• Ability to multi-task


• Strong interpersonal, communication, and organizational skills required

Equal Opportunity Employer VFP Pharmacy Group is an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, gender identity, sexual orientation, national origin, ethnicity, age, disability, veteran status, marital status, or any other characteristic protected by law.

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 17.75 - 19 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: 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.

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.