[Hiring] Eligibility Representative @The Cigna Group

Role Description

The job profile for this position is Eligibility Representative, which is a Band 1 Professional Career Track Role. We’re looking for a detail-oriented team player to support our patient intake process. This role involves managing referrals, ensuring accurate data entry, and providing excellent customer service to patients and internal teams.

Schedule: Monday-Friday, 10:30am-7pm ET (rotating weekend days and holidays)

Key Responsibilities

• Collect and document referral information via fax, email or electronic medical record portal.
• Answer incoming calls related to referrals.
• Enter new patient and referral source details into the system.
• Notify intake coordinator of pending referrals.
• Assist with phone communication and clerical tasks as needed.
• Maintain confidentiality and accuracy in all processes.
• Perform other duties as assigned.

Qualifications

• Strong customer service focus and teamwork.
• Excellent verbal and written communication skills.
• Proficient in Microsoft Office (Outlook, Word, Excel).
• Organized, detail-oriented, and able to multitask.

Requirements

• High school diploma or GED.
• 1+ year of insurance verification, prior authorization, or related experience in a pharmacy or healthcare setting.
• Knowledge of medical terminology.
• Strong computer skills and familiarity with MS Office.
• Ability to prioritize and manage multiple tasks effectively.

Company Description

As part of Evernorth Health Services, this role supports CarepathRx within our Pharmacy and Care Delivery organization. Our team focuses on specialty pharmacy and infusion services in partnership with hospitals and health systems.

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.

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.

Please note that you must meet our posting guidelines to be eligible for consideration. Policy can be reviewed at this link.

Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.