Eligibility Representative

The Cigna Group

. Collect and document referral information via fax, email, or electronic medical record portal .

Posted 10/12/2026full-timeRemote • United StatesJuniorWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates proficiency in insurance verification and prior authorization processes within a pharmacy or healthcare setting, while maintaining confidentiality and accuracy. Strong communication and organizational skills are essential for managing multiple tasks and providing excellent customer service.

Highest-signal resume keywords

Insurance VerificationPrior AuthorizationMedical Terminology KnowledgeMicrosoft Office ProficiencyCustomer Service Focus

ATS Keywords

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Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills

Insurance VerificationPrior AuthorizationMedical Terminology Knowledge

Soft Skills

Excellent Verbal CommunicationExcellent Written CommunicationOrganizedDetail-OrientedAbility to Multitask

Tools & Technologies

Microsoft OfficeElectronic Medical Record Portal

Certifications & Qualifications

High School DiplomaGED

Industry Keywords

PharmacyHealthcareReferral ManagementConfidentiality

About the role

Key responsibilities & impact

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

What you’ll need

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

Comp & perks

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