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The Cigna Group

Eligibility Representative

The Cigna Group

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

Posted 10/12/2026full-timeRemote • Texas • 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 strong customer service and communication skills. Capable of managing multiple tasks effectively in a fast-paced environment.

Highest-signal resume keywords
Insurance VerificationPrior AuthorizationMedical TerminologyMicrosoft 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 TerminologyData EntryReferral Documentation
Soft Skills
Strong Communication SkillsOrganizational SkillsDetail-OrientedMultitasking AbilityTeamwork
Tools & Technologies
Microsoft OutlookMicrosoft WordMicrosoft ExcelElectronic Medical Record Systems
Certifications & Qualifications
High School DiplomaGED
Industry Keywords
PharmacyHealthcarePatient IntakeConfidentialityCarepathRx

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 the 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 patient intake for CarepathRx within Evernorth Health Services’ Pharmacy and Care Delivery organization
  • Support specialty pharmacy and infusion services in partnership with hospitals and health systems

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
  • Proficiency in Outlook, Word, and 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
  • For home work, cable broadband or fiber optic internet service with at least 10Mbps download/5Mbps upload

Benefits

Comp & perks
  • Remote work option, either occasionally or permanently, subject to cable broadband or fiber optic internet with at least 10Mbps download/5Mbps upload
  • Tobacco-free policy and smoking cessation program eligibility where legally applicable
  • Reasonable accommodation support for the online application process