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Full Time Cigna Eligibility Representative Jobs (NOW HIRING)

Radiology Partners

Eligibility Representative

$18 - $20/hr

... Eligibility Representative Functional Area Teammate - Credentialing/Licensing City Remote Work ... )/FULLTIME Description & Requirements Press space or enter keys to toggle section visibility ...

radiology partners

Eligibility Representative

$18 - $20/hr

Position Details Employment Type: Full-time (30+ hrs/week)/FULLTIME Location City: Remote Location ... Analyze eligibility trends and communicate findings to leadership to support process improvements ...

Cigna

Claims Representative - Remote

$19/hr

Claims are processed according to benefits, eligibility, and internal processes, policies, and ... At The Cigna Group, you'll enjoy a comprehensive range of benefits, with a focus on supporting your ...

New

HOPCo

Eligibility Specialist- Full-Time

Phoenix, AZ · On-site

... Reps for the patient's arrival. Maintains proper Appointment Status settings for each visit, as ... Verifies patient demographic information and insurance eligibility including coordination of ...

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How much do full time cigna eligibility representative jobs pay per hour?

As of Aug 27, 2026, the average hourly pay for full time 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 Full Time Cigna Eligibility Representative vs Full Time Cigna Customer Service Representative?

AspectFull Time Cigna Eligibility RepresentativeFull Time Cigna Customer Service Representative
Primary RoleVerifies and processes insurance eligibility and benefitsAssists customers with inquiries, claims, and policy information
Required CredentialsHigh school diploma or equivalent; knowledge of insurance policiesHigh school diploma or equivalent; strong communication skills
Work EnvironmentOffice setting, primarily administrative and verification tasksOffice or call center, customer interaction focus
Industry UsageCommon in health insurance companies like CignaCommon in health insurance and customer service sectors

While both roles are essential in health insurance, the Eligibility Representative focuses on verifying insurance coverage, whereas the Customer Service Representative handles customer inquiries and support. Understanding these differences helps job seekers target the right position within Cigna.

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Full Time Cigna Eligibility Representative jobs near you
Infographic showing various Full Time Cigna Eligibility Representative job openings in the United States as of August 2026, with employment types broken down into 100% Full Time. Highlights an 94% In-person, and 6% Remote job distribution, with an average salary of $46,986 per year, or $22.6 per hour.

Eligibility Representative - Accredo - Remote

Remote

Cigna
Health Care and Social Assistance • 10K+ employees

8.3

Company rating: 8.3 out of 10

Based on 240 frontline employees who took The Breakroom Quiz

40th of 894 rated healthcare providers

People enjoy working here

Good employer

Recommended by students

Learn more about Cignaexternal

Full-time

Medical

Posted 13 days ago

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

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