Eligibility Representative

The Cigna Group•Memphis, TN

2d•Remote

About The Position

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: Help patients get the medication they need: You’ll provide guidance to our patients about prescription medication benefits, deductibles, co-payments, and authorizations to ensure pharmacy coverage. Interact directly with healthcare providers: You’ll 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, you'll 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 you’ll 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. 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. 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: [email protected] for support. Do not email [email protected] 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.

Requirements

High School Diploma / GED required
High speed internet with wired ethernet connection
Private & quiet work space
Excellent communication skills (verbal & written)

Nice To Haves

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

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.