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Eligibility Representative
The Cigna Group. Collect and document referral information via fax, email, or electronic medical record portal .
Core Competencies
Role fitCore 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
Tailor your resumeApplicant 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