Eligibility Senior Representative

Cigna

Multiple Locations
Base: 19 - 29 usd / hourly; bonus/equity: eligible...
Advanced understanding of insurance benefits
Communicate with payers, pharma, physicians, patients
Resolve drug coverage issues
The Eligibility Senior Representative performs specialized patient access functions requiring an advanced understanding of insurance benefits and processes to successfully communicate with Payers, Pharma, Physicians, and Patients

Job Summary

  • The Eligibility Senior Representative performs specialized patient access functions requiring an advanced understanding of insurance benefits and processes to successfully communicate with Payers, Pharma, Physicians, and Patients.
  • Facilitate cross-functional resolution of drug coverage issues & proactively address, research & resolve issues impacting referral turn-around time.
  • Through our range of health care products and services offered, Accredo team members provide in-depth care for patients with chronic health conditions like hemophilia, oncology, rheumatoid arthritis and growth hormone deficiency.

Matching Summary

The Eligibility Senior Representative performs specialized patient access functions requiring an advanced understanding of insurance benefits and processes to successfully communicate with Payers, Pharma, Physicians, and Patients.

Salary

Base: 19 - 29 USD / hourly; Bonus/Equity: eligible to participate in an annual bonus plan; Benefits: comprehensive range of benefits including medical, vision, dental, well-being and behavioral health programs, 401(k), company paid life insurance, tuition reimbursement, 18 days of PTO, paid holidays

Skills & Requirements

Must-have

  • Advanced understanding of insurance benefits
  • Communicate with Payers, Pharma, Physicians, Patients
  • Resolve drug coverage issues
  • Verify medical/pharmacy benefits
  • Professional communication skills

Nice-to-have

  • Proactively recognize trends
  • Handle challenging customers
  • Adapt in dynamic work environment
  • Collaborate with internal departments

Key Requirements

  • High school diploma or GED required
  • Bachelor's degree preferred
  • At least 2+ years of related working experience
  • Health care experience with medical insurance knowledge
  • Experience in patient access
  • Intermediate data entry skills
  • Working knowledge of Microsoft Office

Work Rights

Not specified

Tailored Resume

Cover Letter