Eligibility Representative

The Cigna Group•Memphis, TN

10d•Remote

About The Position

The job profile for this position is Eligibility Representative, which is a Band 1 Professional Career Track Role. Excited to grow your career? We value our talented employees, and whenever possible strive to help one of our associates grow professionally before recruiting new talent to our open positions. If you think the open position you see is right for you, we encourage you to apply! Our people make all the difference in our success. Are you passionate about helping people? Do you want to work from home...Join 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 coverage. In this crucial role, you'll 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. Here’s a little more on how you’ll make a difference:

Requirements

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)
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.
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.

Responsibilities

Provide guidance to our patients about prescription medication benefits, deductibles, co-payments, and authorizations to ensure pharmacy coverage.
Coordinate and research benefits coverage with Insurance providers, doctors' office and health care providers.
While managing a high outbound call volume, you'll use your expert listening and data entry skills to understand patient and provider requests and accurately document all interactions.