[Hiring] Eligibility Representative @Cigna Healthcare

Role Description

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.

Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we’re dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. Join us in driving growth and improving lives.