Senior Eligibility Representative

RepresentativeGeneralFull TimeRemoteSeniorTeam 10,001+Since 1982H1B No SponsorCompany SiteLinkedIn

Location

Tennessee

Posted

3 days ago

Salary

0

Seniority

Senior

High School2 yrs expEnglish

Job Description

Senior Eligibility Representative

The Cigna Group

• Perform specialized patient access functions requiring an advanced understanding of insurance benefits and processes • Communicate with Payers, Pharma, Physicians, and Patients • Recognize trends, identify and clarify patients’ needs, and work towards solutions • Facilitate cross-functional resolution of drug coverage issues & proactively address, research & resolve issues impacting referral turn-around time • Independently resolve basic patient claims issues using key subject matter knowledge • Prepare and review claims to ensure accuracy to payer requirements, including codes, dates, and authorizations • Collaborate with internal departments to resolve issues or provide information

Job Requirements

  • High school diploma or GED required, bachelor’s degree preferred
  • At least 2+ years of related working experience
  • Must have Health care experience with medical insurance knowledge and terminology and experience in patient access
  • Intermediate data entry skills and working knowledge of Microsoft Office
  • Excellent phone presentation and communication skills
  • Demonstrated ability to handle professionally challenging customers
  • Ability to adapt in a dynamic work environment and make decisions with minimal supervision
  • Advanced problem-solving skills and ability to work collaboratively with other departments to resolve issues with innovative solutions

Benefits

  • Health care products and services
  • Comprehensive management services including outcomes measurement, counseling, clinical care management programs, social services, and reimbursement services
  • Opportunity to make a positive impact on patients’ lives

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