Insurance Verification Coordinator II- Evernorth

As an Insurance Verification Coordinator, you will play a key role in helping patients access the care they need by verifying coverage, supporting reimbursement processes, and providing clear, compassionate communication. You will collaborate across teams, manage critical information, and ensure accuracy in insurance documentation to strengthen service delivery and patient experience.

Responsibilities

• Verify insurance coverage, calculate costs, and document details accurately in patient profiles.
• Enter and update patient demographics and maintain complete, organized records.
• Determine medical vs. pharmacy benefits and generate financial responsibility letters.
• Review benefits with patients and identify copay, foundation, or donated drug assistance programs.
• Secure required insurance documents and obtain prior authorizations when needed.
• Coordinate completion of financial assistance forms, payment agreements, and waivers.
• Assist with training new employees and support daily workflow organization.
• Create hospital and physician codes when necessary and support reimbursement research.
• Collaborate with team members to prioritize tasks and maintain a customer-focused service mindset.
• Meet quality and productivity standards, demonstrating reliability and strong follow‑through.
• Perform additional duties as assigned to support operational needs.

Required Qualifications

• High school diploma or GED.
• Minimum 2 years of insurance verification, prior authorization, or related healthcare experience.
• Knowledge of medical terminology, payer websites, eligibility, and coordination of benefits.
• Understanding of pharmacy vs. medical payer requirements and plan formularies.
• Proficient computer skills, including Microsoft Office.
• Strong math skills and attention to detail.

Preferred Qualifications

• Excellent communication, organization, and time‑management skills.
• Ability to work independently and maintain confidentiality.
• Experience working with reimbursement processes or healthcare documentation.

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.

For this position, we anticipate offering an hourly rate of USD / hourly, depending on relevant factors, including experience and geographic location.

This role is also anticipated to be eligible to participate in an annual bonus plan.

At The Cigna Group, you'll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you'll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k), company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, click here.

About The Cigna Group
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.

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