Eligibility Representative

🔥 0 minutes ago

🐊 Florida, North Carolina, +3 more states – Remote

🐊 Florida – Remote 🌲 North Carolina – Remote 🏰 Missouri – Remote 🔔 Pennsylvania – 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.

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The Cigna Group

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1982

🏥 Healthcare

⚕️ Healthcare Insurance

💊 Pharmaceuticals

Healthcare • Healthcare Insurance • Pharmaceuticals

The Cigna Group is a global health company committed to improving the health and vitality of its clients, customers, and patients. With its two divisions, Cigna Healthcare and Evernorth Health Services, the company focuses on enhancing quality of life through healthcare services and pharmacy benefits management. The Cigna Group is dedicated to ethical practices in healthcare and artificial intelligence, and strives to create positive change in the healthcare system. It also emphasizes its Environmental, Social, and Governance (ESG) responsibilities, aiming to impact health equity and foster innovation in healthcare delivery.

📋 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 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 CarepathRx within Evernorth Health Services’ Pharmacy and Care Delivery organization

🎯 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 (Outlook, Word, 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 • If working at home, internet connection through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload

🏖️ Benefits

• Remote work arrangement • Monday-Friday schedule with rotating weekend days and holidays • Cable broadband or fiber optic internet requirement for home working with at least 10Mbps download/5Mbps upload • Tobacco-free policy