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Eligibility Representative
The Cigna Group. Help specialty pharmacy patients obtain needed medication .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in customer service within the healthcare sector, with a strong understanding of medical insurance terminology and the ability to effectively communicate with patients regarding medication coverage and benefits.
Highest-signal resume keywords
Customer Service ExperienceHealth Care ExperienceKnowledge of Medical InsuranceExcellent Communication SkillsGeneral PC Knowledge
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Medical Insurance KnowledgeBenefits ResearchDocumentation SkillsAttention to Detail
Soft Skills
Problem-Solving SkillsTeam Support
Tools & Technologies
Microsoft OfficeComputer System
Certifications & Qualifications
High School DiplomaGED
Industry Keywords
Specialty PharmacyPatient CoordinationDeductiblesCo-PaymentsAuthorizations
About the role
Key responsibilities & impact- Help specialty pharmacy patients obtain needed medication
- Answer patient calls using training, problem-solving skills, and team support
- Coordinate and ensure services are covered under insurance
- Discuss deductibles, co-payments, and authorizations with patients
- Research benefits coverage issues with pharmacists and doctors’ offices
- Provide patients with guidance about medication coverage
- Handle multiple requests while maintaining attention to detail
- Document conversation information in the computer system
Requirements
What you’ll need- High School Diploma / GED required
- Customer Service experience
- Health care experience with knowledge of medical insurance and terminology is preferred
- General PC knowledge including experience working with Microsoft Office
- Excellent communication skills (verbal and written)
- For home-based work, cable broadband or fiber optic internet service with at least 10Mbps download/5Mbps upload is required
Benefits
Comp & perks- Annual bonus plan eligibility
- Medical, vision, and dental benefits starting on day one
- 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
- Remote work arrangement