Senior Eligibility Representative

🔥 0 minutes ago

🔔 Pennsylvania – Remote

🔔 Pennsylvania – Remote

💵 $19 - $29 / hour

⏰ Full Time

🟠 Senior

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

• Support patients and prescriber offices through inbound calls related to insurance coverage, patient access, reimbursement support, and referral status • Review and confirm patient demographic, insurance, and referral information • Explain insurance benefits, copays, coinsurance, deductibles, and other financial responsibilities • Help patients understand copay assistance, manufacturer assistance, and other financial support options • Identify therapy-delay barriers and coordinate next steps toward resolution • Provide updates on referral status, access requirements, and actions needed for timely patient care • Manage escalated patient or prescriber concerns • Meet quality, productivity, and phone queue expectations while creating a positive caller experience

🎯 Requirements

• High school diploma or equivalent • Minimum of 1 year of experience in a phone queue, call center, healthcare, specialty pharmacy, patient access, reimbursement, insurance verification, customer service, or related field • Must be able to work Monday through Friday between 9:00 AM and 6:30 PM EST • Strong verbal communication, customer service, and problem-solving skills • Ability to manage multiple priorities while maintaining accuracy and attention to detail • Comfort working in a fast-paced environment with shifting patient needs and business priorities • Preferred: experience conducting medical or pharmacy benefit investigations • Preferred: experience in specialty pharmacy, patient access, reimbursement support, or benefit investigation services • Preferred: knowledge of specialty drug reimbursement, copay assistance programs, and patient access support services • Preferred: call center or phone queue experience • Preferred: experience discussing insurance benefits and financial assistance options • Home internet must be cable broadband or fiber optic with at least 10Mbps download/5Mbps upload when working from home

🏖️ Benefits

• Annual bonus plan eligibility • Medical benefits • Vision benefits • Dental benefits • Well-being and behavioral health programs • 401(k) • Company-paid life insurance • Tuition reimbursement • Minimum of 18 days of paid time off per year • Paid holidays • Leaves of absence • Cable broadband or fiber optic internet service with at least 10Mbps download/5Mbps upload for home working