Job Description: 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. Job Responsibilities: Effectively collaborate with internal departments to resolve issues or provide any needed information Prepare and review claims to ensure accuracy to payer requirements, including but not limited to codes, dates and authorizations 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.) Independently resolve basic patient claims issues using key subject matter knowledge Perform medical/pharmacy benefit verification requiring complex decision skills based on payer and process knowledge Facilitates cross-functional resolution of drug coverage issues & proactively address, research & resolve issues impacting referral turn-around time Job Requirements: Demonstrated ability to handle difficult conversations in a professional manner Experience with health care, medical insurance terminology and patient access preferred High school diploma or GED Strong data entry skills and computer skills 3-5 years of relevant working experience Ability to adapt in a dynamic work environment and make decisions independently Advanced problem solving skills and the ability to work collaboratively with other departments Excellent phone presentation and communication skills Job Details: Company: Cigna Vacancy Type: Full Time Job Location: Greensboro, NC, US Application Deadline: N/A Apply Here vacanciesforyou.net
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