Eligibility Representative
Eligibility Representative
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Not Disclosed
Salary Not Disclosed
1 Vacancy
Job Description
As an Eligibility Representative youll be part of a dedicatedteam whichhelps our specialty pharmacy patients coordinate their medication needs and pharmacy insurance coverage for complex medical conditions such as HIV rheumatoid arthritis and cancer. This role handles each inquiry with care detail and most importantly empathy.
Heres a little more on how youll make a difference:
Responsibilities
Help patients get the medication they need.Use the knowledge you gain from training your problem-solving skills and support from your teamtocoordinate and ensure services are covered under insurance coverage.
Interact directly with plan providers. Youll research and solve issues on benefits coverage with pharmacist and doctors offices.
Juggle multiple tasks without sacrificing attention to detail.You will be busy handling multiple requests at any given time as well as documenting information from your conversations in our computer system.
Qualifications
Previous Customer Service experience
Health care experience withknowledge ofmedical insuranceand terminology is preferred and will make you successful in this role!
General PC knowledge includingexperience working withMicrosoft Office
Excellent communication skills (verbal and written)
Requirements
High School Diploma / GED required a bachelors degree is preferred.
Must have reliable internet connectivity through a wired internet connection. (Hot spots or mobile internet are not allowed)
Must have a private dedicated workspace that is free of distractions.
Availability to attend 100% of training within the first 90 days of employment.
Why youll love working here
Fun friendly and unique culture Bring your wholeself to work every day!
Choice of 3 unique medical plans
Prescription Drug Dental Vision and Life Insurance
Employee contributions for HRA and HSA accounts
401K with Company Match
Paid Time Off and Paid Holidays
Tuition Assistance
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. Thats why youll enjoy a comprehensive range of benefits with a focus on supporting your whole health. Starting on day one of your employment youll 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: for support. Do not email 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.
Required Experience:
Unclear Seniority
Employment Type
Full-Time
