Eligibility Representative- Evernorth- Remote

The Cigna Group

Base: 17.75 - 26 usd hourly; bonus/equity: eligibl...
Fully remote
Insurance eligibility verification
Prior authorization processing
Patient insurance benefits explanation
The Cigna Group is seeking an Eligibility Representative for its Evernorth division, focusing on supporting patients with insurance verification and financial assistance in specialty pharmacy and infusion services. The position is remote and ideal for detail-oriented individuals with prior experience in healthcare reimbursement

Job Summary

  • At Evernorth Health Services, we believe access to care starts with clarity, compassion, and trust.
  • This role involves delivering accurate insurance verification, securing prior authorizations, and coordinating financial assistance to support patient access to specialty pharmacy and infusion services.
  • The Cigna Group offers comprehensive benefits starting day one, including medical, vision, dental, 401(k), paid time off, and tuition reimbursement.

Matching Summary

Match Score: 85

The Cigna Group is seeking an Eligibility Representative for its Evernorth division, focusing on supporting patients with insurance verification and financial assistance in specialty pharmacy and infusion services. The position is remote and ideal for detail-oriented individuals with prior experience in healthcare reimbursement.

Salary

Base: 17.75 - 26 USD hourly; Bonus/Equity: Eligible for annual bonus plan; Benefits: Comprehensive health and wellness benefits starting day one

Skills & Requirements

Must-have

  • insurance eligibility verification
  • prior authorization processing
  • patient insurance benefits explanation
  • medical terminology knowledge
  • Microsoft Office proficiency
  • attention to detail
  • time management skills

Nice-to-have

  • experience with payer websites
  • coordination of benefits understanding
  • knowledge of pharmacy vs medical benefits
  • specialty pharmacy support experience
  • infusion services familiarity
  • compassionate patient communication
  • continuous improvement mindset

Key Requirements

  • High school diploma or GED
  • Minimum 1 year insurance verification experience
  • Healthcare reimbursement work experience
  • Clear written and verbal communication skills

Work Rights

Not specified

Tailored Resume

Cover Letter