Eligibility Representative – Accredo – Remote

As an Eligibility Representative – Accredo, you’ll be part of a dedicated team which helps our specialty pharmacy patients coordinate their medication needs and pharmacy insurance coverage for complex medical conditions such as HIV, rheumatoid arthritis and cancer. This role is on the front lines with patients and doctors offices, responding to phone inquiries and addressing each with care, detail, and most importantly, empathy.

Here’s a little more on how you’ll make a difference: 

• Help patients get the medication and services they need. Use the knowledge you gain from training, your problem-solving skills and support from your team to answer patient and provider calls effectively. You’ll coordinate and ensure services are covered under insurance coverage and talk to patients about their deductibles, co-payments, and authorizations.
• Interact directly with healthcare providers. You’ll research issues on benefits coverage with pharmacist and doctors’ office and provide guidance to our patients about medication coverage.
• 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.

What You Should Have: 

• High School Diploma / GED required, a bachelor’s degree is preferred.
• 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)

What you’ll love about working here: 

• Fun, friendly, and unique culture – Bring your whole self to work every day!
• Choice of three 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.

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.

Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.

Read Full Description