• Support CX Onboarding & Implementation, Customer Success, and Support teams through rotational exposure to core workflows and initiatives • Assist with documenting and improving CX processes, SOPs, playbooks, and enablement materials • Help organize, validate, and maintain CX knowledge bases and internal documentation • Support data collection, reporting, and insights related to customer experience metrics (e.g., CSAT, NPS, case trends, QA themes) • Collaborate with CX partners on projects related to process optimization, tooling improvements, AI/automation support, and customer journey enhancements • Participate in CX team meetings, training sessions, and cross-functional working groups • Conduct research, synthesize findings, and present recommendations for improving customer experience and internal efficiency • Assist with ad hoc CX initiatives and special projects as business needs evolve • Prepare and present a final internship project highlighting learnings, outcomes, and recommendations

As an Eligibility Representative in Patient Access for 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.  Patient access starts with clarity, accuracy, and persistence. As an Eligibility Representative, you help remove insurance barriers so care can move forward without unnecessary delays. This role is built for professionals with healthcare insurance experience who take pride in detailed work and understand the importance of getting it right the first time. You will be part of a team that is ambitious in outcomes, compassionate in approach, and committed to continuous learning while supporting patients with complex coverage needs. - Responsibilities - Support the insurance clearance process by verifying pharmacy and medical benefits to enable timely access to specialty medications. - Review and interpret insurance eligibility, coverage details, and benefit limitations to determine clearance requirements. - Initiate outbound communication with insurance plans and third‑party payers to obtain benefit details, resolve coverage questions, and confirm authorization requirements. - Navigate prior authorization processes by gathering required information and ensuring payer criteria are met accurately. - Document benefit findings, authorization outcomes, and clearance decisions thoroughly and consistently within internal systems. - Manage multiple cases at various stages of clearance while meeting productivity and turnaround expectations. - Identify coverage discrepancies or access barriers and take ownership of resolution to keep cases progressing. - Apply feedback and payer knowledge to continuously improve accuracy, efficiency, and overall clearance quality. - Required Qualifications - Minimum of 1 year of experience in a healthcare or health insurance setting performing eligibility verification, benefits investigation, prior authorizations, or patient access support. - Direct experience working with insurance plans or payers, including outbound calls to obtain or clarify coverage information. - Working knowledge of pharmacy (PBM) benefits and medical benefits, with the ability to interpret plan details accurately. - Experience documenting insurance and authorization information with a high level of accuracy and attention to detail. - Ability to manage detailed, repetitive work in a structured environment while maintaining consistency and quality. - Strong written and verbal communication skills appropriate for professional interactions with payer representatives. - High School Diploma or equivalent. - Must live and work remotely in one the following states: Alabama, Indiana, South Carolina, or Tennessee. - Preferred Qualifications - Experience supporting specialty medications, infusion therapies, or high‑cost treatments. - Familiarity with insurance clearance workflows across commercial, Medicare, or Medicaid plans. - Experience using healthcare systems or platforms to track eligibility, authorizations, and case status. Why you’ll love working here · Fun, friendly, and unique culture – Bring your whole self to work every day! · Choice of 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.

Department: 13451 Enterprise Revenue Cycle - Pre Registration Status: Full time Benefits Eligible: Yes Hours Per Week: 40 Schedule Details/Additional Information: Weekday, day shift, some weekends possible Pay Range $20.80 - $31.20 Major Responsibilities: - Creates the initial electronic health record that serves as the foundation of the patient medical record that is utilized by all members of the healthcare team. Prevents creation of duplicate medical records that can cause treatment safety issues and billing problems. Follows and ensures compliance with the mandate of the organization’s accrediting bodies to use identifiers to positively identify a patient prior to the delivery of patient care to ensure patient safety. - Checks in and registers patients; obtains and verifies complete demographic, guarantor, and insurance information; discusses and collects co-pays and other out-of-pocket patient responsibilities. Obtaining accurate information at the point of registration helps ensure timely payment to the organization and prevents billing issues and patient complaints. Maintains complete confidentiality regarding patient personal/financial information and medical records in accordance with the Health Insurance Portability and Accountability Act (HIPAA). - Knows insurance basics and recognizes commercial and government plans. Understands which plans Advocate Health contracts with and when a statement of financial responsibility is needed. Understands and discusses financial information and obligations with patients. Knows how and when to refer patients to Financial Advocates. - Has knowledge of which rules, forms and questions must be enforced to make sure Advocate Health remains compliant with government agencies and regulations. Examples are HIPAA, Emergency Medical Treatment and Active Labor Act (EMTALA), Consent for Treatment, Patient Rights and Responsibilities, Important Message from Medicare (IMM), Medicare Outpatient Observation Notice (MOON), Notice of Privacy Practices, Medicare Secondary Payer Questionnaire (MSPQ), Advanced Beneficiary Notice (ABN). Obtains patient or guarantor signatures as required. - May schedule patient appointments: may also coordinate cancellations, reschedules, wait list requests, and recall requests. Provides accurate, detailed information regarding test preparations, patient arrival time, medication/food/beverage consumption guidelines, check-in procedures, directions to facility, etc. - Creates a welcoming and professional environment for our patients and visitors by demonstrating extraordinary customer service. Greets patients and visitors and responds to routine requests for information. Answers telephone, screens calls, and takes messages. Offers various assistance to patients to include arranging transportation needs, providing directions, locating a wheelchair, coordinating interpreter services, etc. - Monitors and works assigned electronic health record work queues, following the department’s approved process. Licensure, Registration, and/or Certification Required: - ​​None Education Required: - ​​High School Graduate. ​ Experience Required: - None Knowledge, Skills & Abilities Required: - Demonstrate the Advocate Health purpose, values and behaviors. - Ability to work in a high profile and high stress area, working independently to set and meet deadlines, multitask and prioritize work. Must be able to handle large workloads with many interruptions in a fast-paced environment without direct supervision. - Strong attention to detail and accuracy. - Excellent customer service skills in a variety of situations. Must have excellent service recovery skills. - Demonstrated independent thinking and problem-solving skills, ability to exercise judgment to triage issues and concerns. - Excellent communication (written & verbal), customer service and interpersonal skills, ability to effectively communicate with a variety of patients, visitors, staff and physicians in a pleasant professional demeanor. - Educate patients on the insurance coverage aspect of their care including managing the discussion for services that will not or may not be paid by their health plan. - Interact with physicians and their staff to resolve issues related to patient care. - Collect and manage payments including cash payments and follow security related to cash handling. - Strong understanding and comfort level with computer systems. Demonstrated technical proficiency including experience with insurance verification/eligibility tools, EPIC electronic medical record, patient liability estimation tools, electronic email, Microsoft Office, internet browser and phone technology. - Understanding of basic medical and insurance terms and abbreviations typically used in the patient scheduling and registration process. - HIPAA-compliant and knowledgeable of applicable state and federal rules/regulations. Ability to handle sensitive and confidential information according to internal policies. - General understanding of health insurance: Medicare, Medicaid, managed care, and commercial payers. Knowledge and ability to articulate explanations of Medicare/HIPAA/EMTALA rules and regulations and comply with updates on insurance pre-certification requirements. - Excellent organizational skills. - Demonstrated ability to effectively act as a resource to other staff. Physical Requirements and Working Conditions: - ​​​This position may require travel, therefore, will be exposed to weather and road conditions. - Responds quickly to patient medical status and emergency situations occurring in clerical areas. - CPR certification may be required based on service location. - Notary training/licensure may be required as appropriate for service line and/or facility. - Operates all equipment necessary to perform the job. - Exposed to a normal office environment with significant patient and public contact. May be exposed to ill or contagious patients. - Must be able to transition from sitting to standing frequently. Must be able to stand and sit for extended periods of time and be physically mobile throughout the workday. - Frequently lifts to 10 lbs. and occasionally lifts 20 lbs. or more. Must be able to push/pull up to 50 lbs. with assistance. Occurs when moving equipment, supplies and/or when transporting patients through doorways, ramps and elevators. - Escorts patients to nursing units or outpatient departments as necessary. - Sensory requirements include vision, hearing and touch. Must also be able to speak clearly. - Must be able to use hands with fine motor skills for keyboard data entry. - May be asked to work a flexible schedule at times to meet the needs of the department. Preferred Job Requirements: Experience Required: - ​​ Preferred: experience with insurance verification/eligibility tools, EPIC electronic medical record, patient liability estimation tools, electronic email, Microsoft Office, Internet and phone technology. This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties. Our Commitment to You: Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more – so you can live fully at and away from work, including: Compensation - Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training - Premium pay such as shift, on call, and more based on a teammate's job - Incentive pay for select positions - Opportunity for annual increases based on performance Benefits and more - Paid Time Off programs - Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability - Flexible Spending Accounts for eligible health care and dependent care expenses - Family benefits such as adoption assistance and paid parental leave - Defined contribution retirement plans with employer match and other financial wellness programs - Educational Assistance Program About Advocate Health Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation’s largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits.

Please use Google Chrome or Mozilla Firefox when accessing Candidate Home. By joining the American Red Cross you will touch millions of lives every year and experience the greatness of the human spirit at its best. Are you ready to be part of the world's largest humanitarian network? Join us—Where your Career is a Force for Good! Job Description: Temporary Hire Supporting DR#215-26 Responsibilities 1. Empower Volunteers: Facilitate and support a diverse volunteer team responsible for the implementation of volunteer-led disaster cycle services programming, or specific functional activities throughout the assigned geographic area. Ensure disaster cycle services are delivered in a rapid, accessible, and equitable manner, both culturally and linguistically, to meet the urgent, disaster-caused needs of our clients, with a focus on frontline communities. 2. Support the Program: Assist with the successful implementation of either specific disaster cycle services program activities, or a specific disaster cycle services function within an assigned geographic area Monitor, collect and analyze business data to improve services to individuals and communities. Ensure compliance with data protection and privacy regulations while managing sensitive disaster-related information. Work at the direction of a Disaster program supervisor to create and improve plans for successfully meeting disaster cycle services programmatic vision. Provide feedback to support the continuous improvement process. 3. Mission Capacity Building: Engage disaster volunteers who are the primary workforce, and representative of the communities they serve, both culturally and linguistically Support the development of Disaster Leadership Volunteers, including volunteer partners, to meet specific responsibilities as part of their work in disaster readiness, preparedness, response, and recovery, or specific functional tasks. This includes, but is not limited to, training, coaching, delegating, coordinating, and evaluating performance to ensure a well-qualified and empowered team. Collaborate closely with Disaster Workforce Engagement team. 4. Engage Community: Support local efforts to prepare and mobilize communities and engage partners to prepare for, respond to, and recover from disasters and emergencies. Participate in community listening and engagement activities alongside Disaster Program management, chapter leadership, community volunteer leaders, and all other business lines to ensure the Red Cross is the most trusted disaster services provider. Engage and include diverse stakeholders reflective of all dimensions of diversity in the community across the disaster cycle, including disaster relief operations. 5. Manage in a Matrix: Implement plans to meet assigned targets for volunteer engagement and volunteer-led Disaster Action Team response to local home fires or support specific function tasks within assigned geographic area. Work at the direction of assigned supervisor. 6. Know Your Communities: Act as the local point of contact for partners and communities. Partner with local organizations and leaders supporting frontline communities and community resiliency before, during and after disasters. These include community-based and faith-based organizations supporting disaster services, key emergency management and government entities, and other leaders in the field of disaster services. 7. Ready to Respond: Participate in disaster response operations in the region in alignment with the Disaster Cycle Services Concept of Operations, upon completion of training requirements. Deploy and participate in operations outside of home region. Perform all assigned responsibilities under “grey sky” requirements with potential for deployment as directed. ------------------------- Scope Individual contributor that works under limited supervision. Applies subject matter knowledge; requires capacity to understand specific needs or requirements to apply skills/knowledge. ------------------------- Qualifications Education: Bachelor's degree required. Experience: Minimum 3 years of experience with social services or service/program delivery, or equivalent combination of education and related experience required. Management Experience: Skills & Abilities: Ability to coordinate staff and volunteer activities. Excellent interpersonal, verbal, and written communication skills. Develop project plans & budgets. Demonstrate in-depth knowledge of program or service, ability to create presentations and training modules, and strategies to achieve organizational goals. Demonstrated analytical and decision- making skills to interpret program trends, results, formulate recommendations, and develop creative processes for continuous program or service improvements. Proven record of accomplishment of collaboration with diverse groups and individual’s representative of all the demographics of this community, managing multiple priorities, facilitation, problem solving, marketing, leadership, and partnership management. Additionally, this position requires ability for planning, public speaking, project management and process improvement. Individual must be customer oriented, organized, and able to operate with an orientation toward solutions with an external focus, and team orientation. Intermediate level proficiency with Microsoft Office software, including Word, Excel, PowerPoint, and Outlook. Familiarity with federal, state, and local employment laws. Ability to work outside of regular duty hours including nights and weekends. Must be able to perform all assigned responsibilities under “steady state” requirements. Ability to work in a matrixed environment and on a team. Chapter-based positions: Geographic Community Disaster employees are expected to work daily in their assigned geographic area to engage and mobilize communities and support volunteers. Regional positions: Regional leadership and functional employees are expected to work daily within their region's geographic area to provide leadership and functional support, engage and mobilize communities, and support volunteers. Deployment Requirement: Regional disaster employees are required to deploy to disaster relief operations outside of their region at a minimum of once a year. Deployments contribute to skill building, career development and exposure to different types of disasters. Employees must meet all training and physical capacity requirements for deployment. Travel: Travel may be required. *Combination of candidate’s education and general experience satisfies requirements so long as the total years equate to description’s minimum education and general experience years combined (Management experience cannot be substituted). ------------------------- Physical Requirements The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this Job, the employee is regularly required to sit; use hands to handle or feel; and talk or hear. The employee is frequently required to reach with hands and arms. The employee is occasionally required to stand; walk and stoop, kneel, crouch, or crawl. The employee must frequently lift and/or move up to 15 pounds and occasionally lift and/or move up to 30 pounds. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception and ability to adjust focus. The work environment will consist of moderate noise (i.e. business office with computers, phones and printers, light traffic). The employee must have the ability to work in a small cubicle and have the ability to sit at a computer terminal for an extended period of time. DISCLAIMER: The above statements are intended to describe the general nature and level of work being performed by individuals assigned to this position. They are not intended to be construed as an exhaustive list of responsibilities, duties and skills required of personnel so classified. Apply now! Joining our team will provide you with the opportunity to make your career a force for good! The American Red Cross is an Equal Opportunity employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected veteran status, age, or any other characteristic protected by law. ​ Qualified applicants with arrest or conviction records will be considered for employment in accordance with the Los Angeles County Fair Chance Ordinance for Employers, San Diego Fair Chance Ordinance, the California Fair Chance Act and any other applicable state and local laws. AmeriCorps, the federal agency that brings people together through service, and its partners — the Peace Corps, AmeriCorps Alums, National Peace Corps Association, and the Service Year Alliance — launched Employers of National Service to connect national service alumni with opportunities in the workforce. American Red Cross is proud to be an EONS partner and share our employment opportunities with the network of organizations. Interested in Volunteering? Visit redcross.org/volunteertoday to learn more, including our most-needed volunteer positions. To view the EEOC Summary of Rights, click here: Summary of Rights