[Hiring] Pharmacy Technician Representative @The Cigna Group

Role Description

Responsible for receiving, sorting, preparing, scanning, auditing, and securely processing prescription orders, claims, correspondence, payments, and undeliverable mail. The role uses Opex scanning equipment and supporting applications while maintaining accuracy, productivity, quality-control, and compliance standards.

Work Schedule: Monday- Friday 5:30 AM to 2 PM.

What you will do:

• Receive, open, sort, and route incoming mail by postal box, business line, document type, and processing priority.
• Prepare and scan prescriptions, patient orders, claims, correspondence, white mail, checks, and supporting documents using Opex scanners.
• Classify documents accurately, confirm transaction sequencing, and enter required batch and tracking information.
• Process accountable mail and maintain accurate priority-ledger records for certified, priority, express, registered, and signature-confirmation items.
• Conduct daily scan audits of prescription and white-mail images to identify misclassified, missing, unreadable, or out-of-sequence documents.
• Prepare and scan reimbursement claims in accordance with established document-order and page-limit requirements.
• Research and resolve imaging issues, altered documents, missing information, and other processing exceptions.
• Perform file-management duties, including batching, labeling, cartoning, and organizing completed prescription, correspondence, and claims work.
• Sort and process returned or undeliverable mail and route items according to established procedures.
• Process incoming payments by validating or correcting routing numbers, account numbers, dollar amounts, and check classifications.
• Monitor deposit exceptions, including rejected MICR data, rejected images, and potential duplicate payments.
• Prepare daily and weekly payment-control reports, reconcile check activity, and forward completed work to the appropriate processing area.
• Fold, insert, meter, and prepare outgoing correspondence using applicable departmental cost codes.
• Follow standard operating procedures, privacy requirements, quality standards, and regulatory controls while meeting productivity expectations.
• Communicate processing issues promptly and collaborate with internal teams to ensure timely and accurate completion of work.

Qualifications

• High school diploma or equivalent.
• Three or more years of relevant experience in a document-scanning, mail-processing, payment-processing, or production environment.
• Current Missouri Pharmacy Technician license.
• General computer proficiency, including Microsoft Word, Excel, and email.
• Experience operating high-speed document scanners; Opex scanner experience preferred.
• Strong attention to detail and demonstrated ability to identify document, image, and payment-processing exceptions.
• Ability to follow detailed procedures, protect confidential information, and maintain accurate records.
• Ability to work independently and collaboratively in a deadline-driven, high-volume environment.

Benefits

• Health coverage effective day 1 (including Medical, Dental and vision).
• 401(k) plan with company match.
• Holiday Pay and Paid time off.
• Education/Certification Program.
• Career Growth and Advancement opportunities.

Physical Requirements

• Sit and/or stand for lengthy periods.
• Lift up to 50 lbs occasionally and 20 lbs frequently.
• Perform repetitive motion with fingers, hands, and arms.
• Work may be in confined areas close to machinery.
• Work may be performed in an environment with varying noise levels.
• 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.

Company Description

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.