Eligibility Representative - Accredo
Cigna, Memphis Tennessee
Have you heard? Express Scripts and Accredo are now part of Cigna. Together, we've got big plans. How big, you ask? 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, you will be part of a team passionate about helping our patients with billing and ensuring their access to life saving medications.What you'll do:* Facilitates cross-functional resolution of drug coverage issues & proactively address, research & resolve issues impacting referral turn-around time* Independently resolve basic patient claims issues using key subject matter knowledge* Prepare and review claims to ensure accuracy to payer requirements, including but not limited to codes, dates and authorizations* Effectively collaborate with internal departments to resolve issues or provide any needed information* Contact benefit providers to gather policy benefits/limitations* Coordinate and ensure services provided will be reimbursable (e.g., deductible amounts, co-payments, effective date, levels of care, authorization, etc.)* Perform medical/pharmacy benefit verification requiring complex decision skills based on payer and process knowledgeWhat you'll need:* High school diploma or GED* 3-5 years of relevant working experience* Experience with health care, medical insurance terminology and patient access preferred* Strong data entry skills and computer skills* Excellent phone presentation and communication skills* Demonstrated ability to handle difficult conversations in a professional manner* Ability to adapt in a dynamic work environment and make decisions independently* Advanced problem solving skills and the ability to work collaboratively with other departmentsAbout CignaCigna Corporation (NYSE: CI) is a global health service company dedicated to improving the health, well-being and peace of mind of those we serve. We offer an integrated suite of health services through Cigna, Express Scripts, and our affiliates including medical, dental, behavioral health, pharmacy, vision, supplemental benefits, and other related products. Together, with our 74,000 employees worldwide, 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 Cigna, you'll enjoy meaningful career experiences that enrich people's lives while working together to make the world a healthier place. What difference will you make? To see our culture in action, search #TeamCigna on Instagram.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 an accommodation based on your physical or mental disability please email: [email protected] Do not email [email protected] for an update on your application or to provide your resume as you will not receive a response.