Eligibility Representative

Are you passionate about helping people Do you want to work from Cigna! Cigna is changing health care to focus on helping the whole person achieve better health outcomes. While working from home Eligibility Representatives are dedicated professionals assisting our specialty pharmacy patients coordinate their medication needs and pharmacy benefits this crucial role youll work with Insurance providers doctors offices and health care providers to obtain vital information to obtain prior authorization for drug therapies needed by our patients with Rare Diseases.

Heres a little more on how youll make a difference:

• Help patients get the medication they need: Youll provide guidance to our patients about prescription medication benefits deductibles co-payments and authorizations to ensure pharmacy coverage.
• Interact directly with healthcare providers: Youll coordinate and research benefits coverage with Insurance providers doctors office and health care providers.
• Help us keep track of patient interactions: While managing a high outbound call volume youll use your expert listening and data entry skills to understand patient and provider requests and accurately document all interactions.

What You Should Have:

• High School Diploma / GED required
• 2 years Health Care experience with knowledge of medical/pharmacy insurance & terminology is preferred
• Tech savvy - Strong computer & data entry skills including all Microsoft products
• High speed internet with wired ethernet connection
• Private & quiet work space
• Excellent communication skills (verbal & written)

What youll love about working here:

• Fun friendly & unique culture Bring your whole self to work every day!
• Medical Dental & Vision start 1st day
• 18 days Paid Time Off & 8 Paid Holidays
• Employer Contributions for HRA & HSA accounts
• 401K Company Match
• Tuition Assistance

NOTE: You will be required to have reliable internet connectivity provided through a wired (Ethernet) connection. A mobile or hot spot environment is not acceptable and you may need to purchase an Ethernet cord depending on your current set up.

About Evernorth Health Services

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.