Eligibility Representative

🔥 3 minutes ago

🤠 Texas – Remote

🤠 Texas – Remote

⏰ Full Time

🟢 Junior

🚫👨‍🎓 No degree required

👻 Ghost score 10%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

Apply Now

Find Similar Remote Jobs

Set Up Email Alert For New Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume

The Cigna Group

WebsiteLinkedInAll Job Openings

10,000+ employees

🏥 Healthcare

🛡️ Insurance

Healthcare • Insurance

The Cigna Group is a global health services company that provides medical, dental, pharmacy, behavioral and supplemental insurance products and benefits to individuals, families, employers, brokers, providers and Medicare beneficiaries. It offers employer-sponsored group plans, individual and family plans (including Open Enrollment offerings), Medicare, international health insurance covering more than 200 countries, and digital member services through the myCigna platform (including telehealth and claims management). Its products are delivered through operating subsidiaries such as Cigna Health and Life Insurance Company and other regional affiliates.

📋 Description

• 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 the 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 • Support patient intake for CarepathRx within Evernorth Health Services’ Pharmacy and Care Delivery organization • Support specialty pharmacy and infusion services in partnership with hospitals and health systems

🎯 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 Microsoft Office • Proficiency in Outlook, Word, and Excel • Strong customer service focus and teamwork • Excellent verbal and written communication skills • Organized, detail-oriented, and able to multitask • Ability to prioritize and manage multiple tasks effectively • Ability to work Monday-Friday, 10:30am-7pm ET, with rotating weekend days and holidays • For home work, cable broadband or fiber optic internet service with at least 10Mbps download/5Mbps upload

🏖️ Benefits

• Remote work option, either occasionally or permanently, subject to cable broadband or fiber optic internet with at least 10Mbps download/5Mbps upload • Tobacco-free policy and smoking cessation program eligibility where legally applicable • Reasonable accommodation support for the online application process