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Cigna Eligibility Representative Jobs (NOW HIRING)

AgentSync, Inc.

Product Marketing Manager

Denver, CO · On-site

$120K - $180K/yr

You'll shape how we sell, train our reps, build collateral that wins deals, and ensure launches ... As required, we will verify the identity and employment eligibility of all newly hired employees ...

AgentSync, Inc.

Head of Legal

Denver, CO · On-site

$140K - $200K/yr

Total Compensation The following represents AgentSync's reasonable estimate of the range of ... As required, we will verify the identity and employment eligibility of all newly hired employees ...

The Mental Mediator

Therapist

Eastampton Township, NJ · On-site

$50 - $60/hr

Because we know that these communities deserve space, representation, and engagement, we strongly ... Benefits eligibility for full-time employees * Medical, dental, and vision insurance. * Liability ...

Dennis A Cortes MD PA

Biller Coder

Miramar, FL

$17.50 - $22.25/hr

Billing representatives are responsible for making sure all accounts aged over 40 days are ... Eligibility Documents (e.g. Permanent Resident Card, Passport - see list at: www.uscis.gov/i-9 ...

Dennis A Cortes MD PA

Biller Coder

Miramar, FL

$17.50 - $22.25/hr

Billing representatives are responsible for making sure all accounts aged over 40 days are ... Eligibility Documents (e.g. Permanent Resident Card, Passport - see list at: www.uscis.gov/i-9 ...

The Structures Company

Recruiting Analyst

Savannah, GA · On-site

$38/hr

Medical, dental, and vision (Cigna) * Perks: Bonus potential + Priority access via Tier 1 supplier ... Conducts candidate interviews with hiring managers and employee relations representatives as ...

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All JobsCigna Eligibility Representative Jobs

Cigna Eligibility Representative information

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$12

$22

$32

How much do cigna eligibility representative jobs pay per hour?

As of Aug 7, 2026, the average hourly pay for cigna eligibility representative 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 the difference between Cigna Eligibility Representative vs Cigna Customer Service Representative?

AspectCigna Eligibility RepresentativeCigna Customer Service Representative
Primary RoleVerify and determine patient insurance eligibility and benefitsAssist customers with inquiries, claims, and account issues
Required CredentialsHigh school diploma; some roles may prefer insurance or healthcare certificationsHigh school diploma; customer service experience beneficial
Work EnvironmentOffice setting, healthcare or insurance companyOffice or call center environment, healthcare or insurance company
Industry UsageCommonly used in health insurance companies like CignaWidely used across insurance and healthcare providers

The Cigna Eligibility Representative focuses on verifying patient insurance coverage and benefits, ensuring accurate eligibility information. In contrast, the Cigna Customer Service Representative handles a broader range of customer inquiries, including claims and account issues. Both roles require similar credentials and work in comparable environments within the healthcare insurance industry, but their primary responsibilities differ.

What does a Cigna Eligibility Representative do?

A Cigna Eligibility Representative is responsible for verifying and maintaining the eligibility status of customers for various Cigna health insurance plans. They review and process enrollment and eligibility information, respond to customer and provider inquiries, and ensure that all data is accurate and up to date. Their work helps ensure that members receive the correct benefits and services, and they often collaborate with other departments to resolve complex eligibility issues.

What are the key skills and qualifications needed to thrive as a Cigna Eligibility Representative?

To thrive as a Cigna Eligibility Representative, you need a strong understanding of healthcare insurance processes, attention to detail, and typically a high school diploma or equivalent. Familiarity with claims processing systems, eligibility databases, and Microsoft Office Suite is often required. Outstanding customer service, problem-solving abilities, and effective communication skills help you resolve inquiries and support clients. These skills ensure accurate eligibility determination, efficient issue resolution, and a positive customer experience.

What are some common challenges Cigna Eligibility Representatives face, and how can they effectively manage them?

Cigna Eligibility Representatives often encounter challenges like handling high volumes of inquiries and resolving complex eligibility issues for members and providers. To manage these effectively, strong attention to detail and excellent communication skills are essential, as is the ability to navigate multiple systems simultaneously. Representatives can benefit from staying updated on policy changes and working closely with team members and other departments to resolve escalated cases efficiently. Regular training and leveraging available resources help ensure accuracy and maintain service quality.
More about Cigna Eligibility Representative jobs
What are the most commonly searched types of Cigna Eligibility Representative jobs? The most popular types of Cigna Eligibility Representative jobs are:
What states have the most Cigna Eligibility Representative jobs? States with the most job openings for Cigna Eligibility Representative jobs include:
What job categories do people searching Cigna Eligibility Representative jobs look for? The top searched job categories for Cigna Eligibility Representative jobs are:
Cigna Eligibility Representative jobs near you
Infographic showing various Cigna Eligibility Representative job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 77% Full Time, 19% Part Time, and 3% Contract. Highlights an 96% Physical, 1% Hybrid, and 3% Remote job distribution, with an average salary of $46,986 per year, or $22.6 per hour.

Patient Services Representative-New Britain

Wheeler Clinic

New Britain, CT • On-site

$20/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 4 days ago

Job description

Wheeler's vision is that all people will have the opportunity to grow, change and live healthier, productive lives. Our mission is to provide equitable access to innovative care that improves health, recovery and growth at all stages of life.
POSITION SUMMARY
The Patient Service Representative (PSR) performs functions related to the enrollment of new clients. A PSR will register new patients/clients, obtains detailed insurance information, and enters data in the Electronic Health Record (EHR). PSRs will be cross trained to work at every Health and Wellness Center including but not limited to the Navigation Center. They will be trained perform administrative duties, schedule appointments, manage incoming calls, and backfill appointments as needed.
Rate $20
EDUCATION AND EXPERIENCE/QUALIFICATIONS
High School diploma and one year of progressively responsible work experience is required.
Experience with Microsoft Office products, other software programs, and office equipment such as fax, copiers, and scanners are preferable.
Valid Drivers License is required. Safely operates vehicle in the community, based on program needs
LOCATION
New Britain, CT
SCHEDULE
Full time
Monday-Friday 10am-6pm
EMPLOYEE BENEFITS
At Wheeler, we're committed to not only supporting your career growth but also ensuring your well-being and security. Here's how we invest in you:
Nurture Your Health:
  • Comprehensive medical and prescription insurance through Centivo
  • Comprehensive dental and vision insurance through Cigna
  • Access to wellness programs to support your physical and mental health

Secure Your Future:
  • Enjoy peace of mind with company-paid life and AD&D insurance
  • 403(b) Plan, with contributions from the company

Fuel Your Career Growth:
  • Pursue your educational goals with our Education Reimbursement Program
  • Access training and development opportunities

Maintain Work-Life Harmony:
  • Recharge with generous paid time off, including:
    • 15 vacation days per year to explore and recharge
    • 8 sick days per year for your well-being
    • 2 personal days per year for your personal needs
    • 2 floating holidays per year to celebrate what matters to you
    • 9 paid company holidays to spend with loved ones
  • Access free and confidential counseling through our Employee Assistance Program (EAP)

ESSENTIAL DUTIES AND RESPONSIBILITIES
Greets and provides exceptional customer service to all patients/clients, visitors, and callers, assessing the needs of each and triaging as necessary.
Oversee the safe, efficient, and comfortable atmosphere of the reception area.
Collect, verify, update, and document all consents, screenings, demographic and insurance information, prior to services via the Phreesia Pad.
Verify each patients/client's insurance coverage at the time of check-in via Phreesia eligibility swipes and/or verification calls to the insurance company.
Collects patient/client copays and outstanding balances at the time of check-in, reconciles deposits, and forwards to billing in a timely manner.
Review and maintain provider schedules daily to ensure accuracy. Backfills no show and cancelled appointment slots, ensuring patients/clients have timely access to care.
Manage all walk-in appointments in accordance with Wheeler's scheduling guidelines.
Manages scheduling for all disciplines, including but not limited to Medical, Dental, Behavioral Health, and the Psychiatric department.
Produces and delivers timely, accurate and professional documents as needed to patients/clients, referral sources, collateral contacts, and primary care physicians.
Supports supervisor in monitoring office supplies, lab supplies, educational and clinical literature, and orders as necessary.
Maintains all scanning/indexing per Wheeler's indexing protocols.
Processes, and sorts incoming faxes and mail.
Pursues and utilizes available insurance trainings and staff development opportunities to develop job related skills, and enhance knowledge and growth within the agency.
Maintains flexibility pertaining to cross training in the Navigation Center and coverage at other Health and Wellness sites as it meets the needs of the department.
Maintains competencies to meet expectations in all position-specific key performance indicators.
Continues to develop knowledge and understanding about the history, traditions, values, family systems, and artistic expression of groups served as well as uses appropriate methodological approaches, skills, and techniques that reflect an understanding of culture.
Wheeler Clinic is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status or other characteristics protected by law.

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