As an Eligibility Representative, you'll be part of a dedicatedteam whichhelps our specialty ... About Evernorth Health Services Evernorth Health Services, a division of The Cigna Group, creates ...
As an Eligibility Representative, you'll be part of a dedicatedteam whichhelps our specialty ... About Evernorth Health Services Evernorth Health Services, a division of The Cigna Group, creates ...
Eligibility Representative - Accredo - Remote
$40K - $56K/yr
Medical
As an Eligibility Representative, you will play a critical role in helping patients gain access to ... About Evernorth Health Services Evernorth Health Services, a division of The Cigna Group, creates ...
Eligibility Representative - Accredo - Remote
$40K - $56K/yr
Medical
As an Eligibility Representative, you will play a critical role in helping patients gain access to ... About Evernorth Health Services Evernorth Health Services, a division of The Cigna Group, creates ...
Eligibility Senior Representative - Accredo - Hybrid (Hawaii)
$19 - $26.25/hr
Medical
Dental
Vision
Life
Retirement
PTO
The Eligibility Representative performs specialized patient access functions requiring an advanced ... At The Cigna Group, you'll enjoy a comprehensive range of benefits, with a focus on supporting your ...
Eligibility Senior Representative - Accredo - Hybrid (Hawaii)
$19 - $26.25/hr
Medical
Dental
Vision
Life
Retirement
PTO
The Eligibility Representative performs specialized patient access functions requiring an advanced ... At The Cigna Group, you'll enjoy a comprehensive range of benefits, with a focus on supporting your ...
Eligibility Senior Representative - Accredo - Hybrid (Hawaii)
Honolulu, HI · On-site
$19 - $26.25/hr
Medical
Dental
Vision
Life
Retirement
PTO
The Eligibility Representative performs specialized patient access functions requiring an advanced ... At The Cigna Group, you'll enjoy a comprehensive range of benefits, with a focus on supporting your ...
Eligibility Senior Representative - Accredo - Hybrid (Hawaii)
Honolulu, HI · On-site
$19 - $26.25/hr
Medical
Dental
Vision
Life
Retirement
PTO
The Eligibility Representative performs specialized patient access functions requiring an advanced ... At The Cigna Group, you'll enjoy a comprehensive range of benefits, with a focus on supporting your ...
Eligibility Senior Representative - Accredo - Hybrid (Hawaii)
Honolulu, HI · On-site
$19 - $26.25/hr
Medical
Dental
Vision
Life
Retirement
PTO
Eligibility Representative The Eligibility Representative performs specialized patient access ... At The Cigna Group, you'll enjoy a comprehensive range of benefits, with a focus on supporting your ...
Eligibility Senior Representative - Accredo - Hybrid (Hawaii)
Honolulu, HI · On-site
$19 - $26.25/hr
Medical
Dental
Vision
Life
Retirement
PTO
Eligibility Representative The Eligibility Representative performs specialized patient access ... At The Cigna Group, you'll enjoy a comprehensive range of benefits, with a focus on supporting your ...
Eligibility Senior Representative - Accredo - Hybrid (Hawaii)
Honolulu, HI · On-site
$54.44/hr
Medical
Dental
Vision
Life
Retirement
PTO
The Eligibility Representative performs specialized patient access functions requiring an advanced ... About Evernorth Health Services Evernorth Health Services, a division of The Cigna Group, creates ...
New
Eligibility Senior Representative - Accredo - Hybrid (Hawaii)
Honolulu, HI · On-site
$54.44/hr
Medical
Dental
Vision
Life
Retirement
PTO
The Eligibility Representative performs specialized patient access functions requiring an advanced ... About Evernorth Health Services Evernorth Health Services, a division of The Cigna Group, creates ...
New
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 ...
New
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 ...
New
The following information represents benefits currently available to permanent Placer County ... Trainees are given the opportunity to perform increasing levels of eligibility determination to ...
The following information represents benefits currently available to permanent Placer County ... Trainees are given the opportunity to perform increasing levels of eligibility determination to ...
Eligibility Specialist - Trainee
Roseville, CA · On-site
$25.77/hr
The following information represents benefits currently available to permanent Placer County ... Trainees are given the opportunity to perform increasing levels of eligibility determination to ...
Eligibility Specialist - Trainee
Roseville, CA · On-site
$25.77/hr
The following information represents benefits currently available to permanent Placer County ... Trainees are given the opportunity to perform increasing levels of eligibility determination to ...
Dedicated Client Service Partner, Cigna Healthcare - Hybrid, FL
Brooksville, FL · Hybrid
$32K - $45K/yr
Resolve complex issues related to claims, eligibility, authorizations, appeals, denials, and ... About The Cigna Group Doing something meaningful starts with a simple decision, a commitment to ...
Dedicated Client Service Partner, Cigna Healthcare - Hybrid, FL
Brooksville, FL · Hybrid
$32K - $45K/yr
Resolve complex issues related to claims, eligibility, authorizations, appeals, denials, and ... About The Cigna Group Doing something meaningful starts with a simple decision, a commitment to ...
Dedicated Client Service Partner, Cigna Healthcare - Hybrid, FL
Brooksville, FL · On-site
$32K - $45K/yr
Resolve complex issues related to claims, eligibility, authorizations, appeals, denials, and ... About The Cigna Group Doing something meaningful starts with a simple decision, a commitment to ...
Dedicated Client Service Partner, Cigna Healthcare - Hybrid, FL
Brooksville, FL · On-site
$32K - $45K/yr
Resolve complex issues related to claims, eligibility, authorizations, appeals, denials, and ... About The Cigna Group Doing something meaningful starts with a simple decision, a commitment to ...
Pharmacy Technician Associate Representative - Accredo
Tempe, AZ · On-site
$17.50 - $21.50/hr
Medical
Dental
Vision
Retirement
PTO
Accredo Specialty Pharmacy, a division of Evernorth Health Services a part of The Cigna Group is ... AZ Pharmacy Trainee License is required with the requirement to obtain AZ Pharmacy Technician ...
Pharmacy Technician Associate Representative - Accredo
Tempe, AZ · On-site
$17.50 - $21.50/hr
Medical
Dental
Vision
Retirement
PTO
Accredo Specialty Pharmacy, a division of Evernorth Health Services a part of The Cigna Group is ... AZ Pharmacy Trainee License is required with the requirement to obtain AZ Pharmacy Technician ...
Pharmacy Technician Associate Representative - Accredo
Tempe, AZ · On-site
$17.50 - $21.50/hr
Medical
Dental
Vision
Retirement
PTO
Accredo Specialty Pharmacy, a division of Evernorth Health Services a part of The Cigna Group is ... AZ Pharmacy Trainee License is required with the requirement to obtain AZ Pharmacy Technician ...
Pharmacy Technician Associate Representative - Accredo
Tempe, AZ · On-site
$17.50 - $21.50/hr
Medical
Dental
Vision
Retirement
PTO
Accredo Specialty Pharmacy, a division of Evernorth Health Services a part of The Cigna Group is ... AZ Pharmacy Trainee License is required with the requirement to obtain AZ Pharmacy Technician ...
Detention Officer/Trainee
Baytown, TX · On-site
$20.08/hr
Medical
Dental
Vision
Life
Retirement
PTO
... eligibility. * Able to pass a polygraph test, physical fitness and psychological assessments ... Cigna Dental PPO & DHMO * Effective the first day of the month following 30 days of employment
Detention Officer/Trainee
Baytown, TX · On-site
$20.08/hr
Medical
Dental
Vision
Life
Retirement
PTO
... eligibility. * Able to pass a polygraph test, physical fitness and psychological assessments ... Cigna Dental PPO & DHMO * Effective the first day of the month following 30 days of employment
Pharmacy Technician Associate Representative, Inbound Call - Accredo Specialty Pharmacy - Remote,...
$18.75 - $23/hr
Medical
Dental
Vision
Life
Retirement
PTO
... Cigna Group. We're looking for energetic and detail-oriented pharmacy technician associate ... Bonus eligibility through incentive plans If you will be working at home occasionally or ...
Pharmacy Technician Associate Representative, Inbound Call - Accredo Specialty Pharmacy - Remote,...
$18.75 - $23/hr
Medical
Dental
Vision
Life
Retirement
PTO
... Cigna Group. We're looking for energetic and detail-oriented pharmacy technician associate ... Bonus eligibility through incentive plans If you will be working at home occasionally or ...
Sr. Account Representative - Specialty Pharmacy Sales/AIC - CuraScript SD - Hybrid (Lake Mary, FL)
Lake Mary, FL · On-site
... eligibility with accuracy and professionalism. * Collaborate with internal teams to support ... About Evernorth Health Services Evernorth Health Services, a division of The Cigna Group, creates ...
Sr. Account Representative - Specialty Pharmacy Sales/AIC - CuraScript SD - Hybrid (Lake Mary, FL)
Lake Mary, FL · On-site
... eligibility with accuracy and professionalism. * Collaborate with internal teams to support ... About Evernorth Health Services Evernorth Health Services, a division of The Cigna Group, creates ...
Sr. Account Representative - Specialty Pharmacy Sales/AIC - CuraScript SD - Hybrid (Lake Mary, FL)
Lake Mary, FL · Remote
... eligibility with accuracy and professionalism. * Collaborate with internal teams to support ... About Evernorth Health Services Evernorth Health Services, a division of The Cigna Group, creates ...
Sr. Account Representative - Specialty Pharmacy Sales/AIC - CuraScript SD - Hybrid (Lake Mary, FL)
Lake Mary, FL · Remote
... eligibility with accuracy and professionalism. * Collaborate with internal teams to support ... About Evernorth Health Services Evernorth Health Services, a division of The Cigna Group, creates ...
Sr. Account Representative - Specialty Pharmacy Sales/AIC - CuraScript SD - Hybrid (Lake Mary, FL)
Orlando, FL · Remote
... eligibility with accuracy and professionalism. * Collaborate with internal teams to support ... About Evernorth Health Services Evernorth Health Services, a division of The Cigna Group, creates ...
Sr. Account Representative - Specialty Pharmacy Sales/AIC - CuraScript SD - Hybrid (Lake Mary, FL)
Orlando, FL · Remote
... eligibility with accuracy and professionalism. * Collaborate with internal teams to support ... About Evernorth Health Services Evernorth Health Services, a division of The Cigna Group, creates ...
Pharmacy Technician Associate Representative - Accredo Specialty Pharmacy - Whitestown, IN
$18 - $21.75/hr
Retirement
PTO
... Cigna Group. We're looking for energetic and detail-oriented pharmacy technician associate ... Bonus eligibility through incentive plans If you will be working at home occasionally or ...
Pharmacy Technician Associate Representative - Accredo Specialty Pharmacy - Whitestown, IN
$18 - $21.75/hr
Retirement
PTO
... Cigna Group. We're looking for energetic and detail-oriented pharmacy technician associate ... Bonus eligibility through incentive plans If you will be working at home occasionally or ...
Pharmacy Technician Associate Representative - Express Scripts Pharmacy - Whitestown, IN
Whitestown, IN · On-site +1
$18.75 - $23/hr
Retirement
PTO
... Cigna Group. We're looking for energetic and detail-oriented pharmacy technician associate ... Bonus eligibility through incentive plans If you will be working at home occasionally or ...
Pharmacy Technician Associate Representative - Express Scripts Pharmacy - Whitestown, IN
Whitestown, IN · On-site +1
$18.75 - $23/hr
Retirement
PTO
... Cigna Group. We're looking for energetic and detail-oriented pharmacy technician associate ... Bonus eligibility through incentive plans If you will be working at home occasionally or ...
Trainee Cigna Eligibility Representative information
See salary details
$13.94 - $15.97
6% of jobs
$15.97 - $18.01
9% of jobs
$18.85 is the 25th percentile. Wages below this are outliers.
$18.01 - $20.04
24% of jobs
The median wage is $21.06 / hr.
$20.04 - $22.07
21% of jobs
$22.07 - $24.10
14% of jobs
$24.23 is the 75th percentile. Wages above this are outliers.
$24.10 - $26.14
9% of jobs
$26.14 - $28.17
5% of jobs
$28.17 - $30.20
4% of jobs
$30.20 - $32.23
3% of jobs
$32.23 - $34.27
2% of jobs
$34.27 - $36.30
2% of jobs
$13
$23
$36
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Cigna Healthcare rating
8.3
Based on 239 frontline employees who took The Breakroom Quiz
40th of 888 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.
What Cigna Healthcare employees say
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Get the full story on Breakroom
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