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Eligibility Representative

4 months ago

Memphis, Tennessee, United States The Cigna Group Full time

As an Eligibility Representative, Patient Access, Accredo, you'll be part of a dedicated team which helps our specialty pharmacy patients coordinate their medication needs and pharmacy insurance coverage for complex medical conditions such as HIV, rheumatoid arthritis, and cancer. This role is on the front lines with patients and doctors' offices, responding to phone inquiries and addressing each with care, detail, and most importantly, empathy.

Responsibilities

  • Help patients get the medication they need. Use the knowledge you gain from training, your problem-solving skills and support from your team to answer patient calls effectively. You'll coordinate and ensure services are covered under insurance coverage and talk to patients about their deductibles, co-payments, and authorizations.
  • Interact directly with healthcare providers. You'll research issues on benefits coverage with pharmacist and doctors' office and provide guidance to our patients about medication coverage.
  • Juggle multiple tasks without sacrificing attention to detail. You will be busy handling multiple requests at any given time as well as documenting information from your conversations in our computer system.

Qualifications

  • Previous Customer Service experience
  • Previous healthcare experience/insurance is preferred
  • General PC knowledge including experience working with Microsoft Office
  • Excellent written and verbal communication skills

Requirements

  • High School Diploma / GED required
  • Must have reliable internet connectivity through a wired internet connection. (Hot spots or mobile internet are not allowed)
  • Must have a private dedicated workspace that is free of distractions.
  • Availability to attend 100% of training within the first 90 days of employment.

Why you'll love working here

  • Fun, friendly, and unique culture – Bring your wholeself to work every day
  • Choice of unique medical plans
  • Prescription Drug, Dental, Vision, and Life Insurance
  • Employee contributions for HRA and HSA accounts
  • 401K with Company Match
  • Paid Time Off and Paid Holidays
  • Tuition Assistance

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: for support. Do not email 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.