Eligibility Lead Representative - Accredo - Remote Job at Cigna

Cigna Hartford, CT 06152

Requires ability to work a shift between hours of: 7:00am to 8:00pm CST, Monday-Friday.

Are you passionate about helping people? Join The Cigna Group! The Eligibility Lead Representative ensures our patients receive insurance coverage for their medication in a timely manner. In this crucial role, you'll manage back-to-back; inbound and outbound calls collaborating with Insurance providers, doctors' offices and patients to obtain vital information necessary to ensure medication coverage is obtained.

H ow you’ll make a difference:
Use your knowledge of the healthcare industry, Prescription Benefit Programs, pharmacy coverage, Reimbursement and Insurance processes to ensure patients get their medication.

Manage constant inbound and outbound calls exemplifying the highest customer service standards to meet quality and production metrics

Use your advanced technical skills to navigate through multiple systems, applications and screens simultaneously all while speaking on the phone.

Use your independent judgement in managing escalated patient or client complaints and discretion to escalate further if needed

What you’ll need to do the job:
High school diploma or GED required

2+ years of experience with Prescription Benefit Programs, pharmacy coverage, Reimbursement or Insurance processes required

2+ years of experience in the healthcare industry required

3+ years of proficiency with Microsoft Office products (Word, Outlook, Excel)

Pharmacy Technician experience or license preferred

What you’ll love about working here:
1st day benefits; Medical Dental & Vision and more

18 days Paid Time Off & 8 Paid Holidays

Monthly performance bonus

Employer Contributions for HRA and HSA accounts

401K with Company Match

Tuition Assistance

Advancement opportunities

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 19 - 28 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.

We want you to be healthy, balanced, and feel secure. That’s why 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) with company match, 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, visit Life at Cigna Group .

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: SeeYourself@cigna.com for support. Do not email SeeYourself@cigna.com 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.


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