What are the responsibilities and job description for the Eligibility Representative - Oncology position at The Cigna Group?
Excited to grow your career?
We value our talented employees, and whenever possible strive to help one of our associates grow professionally before recruiting new talent to our open positions. If you think the open position you see is right for you, we encourage you to apply!
Our people make all the difference in our success.
As an Eligibility Representative, you'll be part of a dedicated team that helps specialty pharmacy patients navigate their medication needs and pharmacy insurance coverage for complex medical conditions, including cancer. This role handles each inquiry with care, detail, and most importantly, empathy.
Here’s a little more on how you’ll make a difference:
Responsibilities
Help patients get the medication they need. Use the knowledge you gain from training, your problem-solving skills and support from your team to coordinate and ensure services are covered under insurance coverage.
Interact directly with plan providers. You’ll research and solve issues on benefits coverage with pharmacist and doctors’ offices.
Juggle multiple tasks without sacrificing attention to detail. You will be busy handling multiple requests at any given time as well as documenting information from your conversations in our computer system.
Qualifications
Previous Customer Service experience
Health care experience with knowledge of medical insurance and terminology is preferred and will make you successful in this role!
General PC knowledge including experience working with Microsoft Office
Excellent communication skills (verbal and written)
Requirements
High School Diploma / GED required, a bachelor’s degree is preferred.
Must have reliable internet connectivity through a wired internet connection. (Hot spots or mobile internet are not allowed)
Must have a private dedicated workspace that is free of distractions.
Availability to attend 100% of training within the first 90 days of employment.
Why you’ll love working here
Fun, friendly, and unique culture – Bring your Best Self to work every day!
Choice of 3 unique medical plans
Prescription Drug, Dental, Vision, and Life Insurance
Employee contributions for HRA and HSA accounts
401K with Company Match
Paid Time Off and Paid Holidays
Tuition Assistance
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 17 - 26 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, paid holidays, and leaves of absence. For more details on our employee benefits programs, click here.
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.
Please note that you must meet our posting guidelines to be eligible for consideration. Policy can be reviewed at this link.
Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.