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Immediately Require Eligibility Representative - Accredo - Remote in USA

Remote, USA Full-time Posted 2025-04-16

Job title: Eligibility Representative - Accredo - Remote

Company: Cigna

Job description: Express Scripts and Accredo Specialty Pharmacy are now part of Cigna. Together, we have got big plans. We want to change health care to make it more affordable, more personalized, and more focused on helping the whole person to achieve better health outcomes. And that??s only the beginning. Read on to learn more about working with us.



As an Eligibility Representative, Patient Access, Accredo, you??ll be part of a dedicated team which helps our specialty pharmacy patients coordinate their medication needs and pharmacy insurance coverage for complex medical conditions such as HIV, rheumatoid arthritis and cancer. This role is on the front lines with patients and doctors offices, responding to phone inquiries and addressing each with care, detail, and most importantly, empathy.



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



Help patients get the medication they need. Use the knowledge you gain from training, your problem-solving skills and support from your team to answer patient calls effectively. You??ll coordinate and ensure services are covered under insurance coverage and talk to patients about their deductibles, co-payments, and authorizations.



Interact directly with healthcare providers. You??ll research issues on benefits coverage with pharmacist and doctors?? office and provide guidance to our patients about medication coverage.



Juggle multiple tasks without sacrificing attention to detail. You will be busy handling multiple requests at any given time as well as documenting information from your conversations in our computer system.



What You Should Have:



High School Diploma / GED required, a bachelor??s degree is preferred.



Customer Service experience



Health care experience with knowledge of medical insurance and terminology is preferred and will make you successful in this role!



General PC knowledge including experience working with Microsoft Office



Excellent communication skills (verbal and written)



High speed internet and a quiet, private place to work



What you??ll love about working here:



Fun, friendly, and unique culture ?? Bring your whole self to work every day!



Great working environment



Choice of three unique medical plans



Prescription Drug, Dental, Vision and Life Insurance



Employee Contributions for HRA and HSA accounts



401K with Company Match



Paid Time Off and Paid Holidays



Tuition Assistance



This is a remote role however, candidates must reside in the following states to be considered:



Arizona, Florida, Georgia, Illinois, Missouri, Pennsylvania, Tennessee and Texas



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 require reasonable accommodation in completing the online application process, please email: [email protected] for support. Do not email [email protected] for an update on your application or to provide your resume as you will not receive a response.



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.

Expected salary:

Location: USA

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