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Cigna Eligibility Representative Remote Jobs (NOW HIRING)

VIVA USA INC

Eligibility Representative

Chicago, IL · On-site +1

Remote Description: Position Overview The Eligibility Representative is responsible for performing analytical and administrative functions to support Medicare enrollment and eligibility processes.

Pyramid Consulting

Eligibility Representative

$19 - $19.35/hr

Immediate need for a talented Eligibility Representative This is a 04+ months contract opportunity ... S(Remote). Please review the below and contact me ASAP if you are interested. Job ID: 2 6-22422 Pay ...

Radiology Partners

Eligibility Representative

$18 - $20/hr

General information Press space or enter keys to toggle section visibility Job Title Eligibility Representative Functional Area Teammate - Credentialing/Licensing City Remote Work Location Type ...

radiology partners

Eligibility Representative

$18 - $20/hr

Remote Location State: Remote Work Location Type: Remote WHO WE ARE AND WHAT WE DO: Radiology ... Analyze eligibility trends and communicate findings to leadership to support process improvements ...

Radiology Partners

Eligibility Representative

$18 - $20/hr

Flexible Remote Schedules * Generous PTO Plans and Paid Holidays * Proudly Certified as a Great Place to Work for Five Consecutive Years FOR MORE INFORMATION: Eligibility ...

Link Up Overseas

Customer Service Representative (Remote)

$16.50 - $22.25/hr

Customer Service Representative (Remote) Indianapolis, IN, United States Or refer someone Job ... Receive telephone, written, fax, and e-mail inquiries concerning TRICARE eligibility, benefits ...

Cigna

Eligibility Senior Representative - Accredo - Remote

$47K - $61K/yr

Verify insurance eligibility, benefit details, coverage limitations, and documentation requirements ... About Evernorth Health Services Evernorth Health Services, a division of The Cigna Group, creates ...

Mindlance

Eligibility Associate Representative

$16.50 - $22.25/hr

Customer Service Senior Representative Licensed Agents Customer Service Senior Representative remote in any state except, NY, CA, HI or AK Eligibility Associate Representative POSITION SUMMARY ...

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How much do cigna eligibility representative remote jobs pay per hour?

As of Aug 23, 2026, the average hourly pay for cigna eligibility representative remote in the United States is $22.59, according to ZipRecruiter salary data. Most workers in this role earn between $18.03 and $25.72 per hour, depending on experience, location, and employer.

What is a Cigna Eligibility Representative remote?

A Cigna Eligibility Representative Remote job involves reviewing and processing member eligibility and enrollment information for Cigna’s healthcare plans. Responsibilities typically include verifying customer details, updating records, and resolving enrollment discrepancies while ensuring compliance with company policies and regulations. This role is performed remotely, requiring strong attention to detail, communication skills, and proficiency with administrative systems. It may also involve interacting with customers, healthcare providers, or internal teams to address eligibility-related inquiries.

What are the typical daily responsibilities of a Cigna Eligibility Representative remote?

As a remote Cigna Eligibility Representative, your daily responsibilities typically include verifying member eligibility, processing enrollment requests, and responding to inquiries from members, providers, and internal teams. You will also investigate and resolve discrepancies in coverage, update records in designated systems, and ensure compliance with privacy and company standards. Collaborating virtually with coworkers and participating in regular team meetings are common parts of the workflow. This role requires balancing independent work with ongoing communication to ensure high levels of efficiency and customer satisfaction.

What are the key skills and qualifications needed for a Cigna Eligibility Representative remote?

Succeeding as a Cigna Eligibility Representative Remote requires strong attention to detail, excellent customer service skills, and a high school diploma or equivalent. Familiarity with healthcare eligibility systems, enrollment platforms, and customer relationship management (CRM) tools is typically necessary. Outstanding interpersonal communication, problem-solving abilities, and time-management skills help professionals excel in this position. Mastering these skills ensures efficient, accurate processing of member information and delivers a positive experience for clients and healthcare providers.

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Cigna Eligibility Representative Remote jobs near you
Infographic showing various Cigna Eligibility Representative Remote job openings in the United States as of August 2026, with employment types broken down into 87% Full Time, and 13% Contract. Highlights an 100% Remote job distribution, with an average salary of $46,986 per year, or $22.6 per hour.

Eligibility Representative - Accredo - Remote

Cigna

Remote

Full-time

Medical

Posted 8 days ago

Cigna Healthcare rating

8.3

Company rating: 8.3 out of 10

Based on 239 frontline employees who took The Breakroom Quiz

41st of 891 rated healthcare providers

Job description

As an Eligibility Representative, you'll be part of a dedicatedteam whichhelps our specialty pharmacy patients coordinate their medication needs and pharmacy insurance coverage for complex medical conditions. This role handles each inquiry with care, detail, and most importantly, empathy.

Here's a little more on how you'll make a difference:

PRIMARY RESPONSIBILITIES:

  • Review and interpret insurance eligibility, coverage details, and benefit limitations to determine clearance requirements.

  • Initiate outbound communication with insurance plans and thirdparty 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.

  • Apply feedback and payer knowledge to continuously improve accuracy, efficiency, and overall clearance quality.

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.


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 need a reasonable accommodation to complete the online application process, please email seeyourself@thecignagroup.com for assistance. Please note that this email inbox is dedicated to accommodation requests only and cannot provide application updates or accept resumes.

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.

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About Cigna

Sourced by ZipRecruiter

Cigna Corporation exists to improve lives. We are a global health service company dedicated to improving the health, well-being and peace of mind of those we serve. Together, with colleagues around the world, we aspire to transform health services, making them more affordable and accessible to millions. Through our unmatched expertise, bold action, fresh ideas and an unwavering commitment to patient-centered care, we are a force of health services innovation. When you work with us, or one of our subsidiaries, you'll enjoy meaningful career experiences that enrich people's lives.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Bloomfield, CT, US

Social media

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