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Eligibility Representative

The Cigna Group

Eligibility Representative

full-timePosted: Jan 12, 2026

Job Description

Are you passionate about helping people? Do you want to work from home...Join Cigna! Cigna is changing health care to focus on helping the whole person achieve better health outcomes. While working from home, Eligibility Representatives, are dedicated professionals assisting our specialty pharmacy patients coordinate their medication needs and pharmacy benefits coverage. In this crucial role, you'll work with Insurance providers, doctors' offices and health care providers to obtain vital information to obtain prior authorization for drug therapies needed by our patients with Rare Diseases.

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

  • Help patients get the medication they need: You’ll provide guidance to our patients about prescription medication benefits, deductibles, co-payments, and authorizations to ensure pharmacy coverage.
  • Interact directly with healthcare providers: You’ll coordinate and research benefits coverage with Insurance providers, doctors’ office and health care providers.
  • Help us keep track of patient interactions: While managing a high outbound call volume, you'll use your expert listening and data entry skills to understand patient and provider requests and accurately document all interactions.

What You Should Have:

  • High School Diploma / GED required
  • 2 years Health Care experience with knowledge of medical/pharmacy insurance & terminology is preferred
  • Tech savvy - Strong computer & data entry skills, including all Microsoft products
  • High speed internet with wired ethernet connection
  • Private & quiet work space
  • Excellent communication skills (verbal & written)

What you’ll love about working here:

  • Fun, friendly & unique culture – Bring your whole self to work every day!
  • Medical Dental & Vision start 1st day
  • 18 days Paid Time Off & 8 Paid Holidays
  • Employer Contributions for HRA & HSA accounts
  • 401K + Company Match
  • Tuition Assistance

NOTE: You will be required to have reliable internet connectivity provided through a wired (Ethernet) connection.  A mobile or hot spot environment is not acceptable and you may need to purchase an Ethernet cord depending on your current set up. 


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: SeeYourself@cigna.com for support. Do not email SeeYourself@cigna.com 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.

Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.

Locations

  • Memphis, Tennessee, United States of America

Salary

Estimated Salary Rangemedium confidence

60,000 - 100,000 USD / yearly

* This is an estimated range based on market data and may vary based on experience and qualifications.

Skills Required

  • Medical/pharmacy insurance terminologyintermediate
  • Strong computer and data entry skillsintermediate
  • Microsoft products proficiencyintermediate
  • Excellent communication (verbal/written)intermediate
  • High outbound call volume managementintermediate

Required Qualifications

  • High School Diploma/GED (experience)
  • 2 years healthcare experience preferred (experience)

Responsibilities

  • Coordinate medication benefits and prior authorizations
  • Interact with insurance providers, doctors, healthcare providers
  • Document patient/provider interactions
  • Provide guidance on benefits, deductibles, co-payments

Benefits

  • general: Medical, Dental, Vision from day 1
  • general: 18 days PTO, 8 holidays
  • general: Employer HRA/HSA contributions
  • general: 401K match
  • general: Tuition assistance

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The Cigna Group logo

Eligibility Representative

The Cigna Group

Eligibility Representative

full-timePosted: Jan 12, 2026

Job Description

Are you passionate about helping people? Do you want to work from home...Join Cigna! Cigna is changing health care to focus on helping the whole person achieve better health outcomes. While working from home, Eligibility Representatives, are dedicated professionals assisting our specialty pharmacy patients coordinate their medication needs and pharmacy benefits coverage. In this crucial role, you'll work with Insurance providers, doctors' offices and health care providers to obtain vital information to obtain prior authorization for drug therapies needed by our patients with Rare Diseases.

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

  • Help patients get the medication they need: You’ll provide guidance to our patients about prescription medication benefits, deductibles, co-payments, and authorizations to ensure pharmacy coverage.
  • Interact directly with healthcare providers: You’ll coordinate and research benefits coverage with Insurance providers, doctors’ office and health care providers.
  • Help us keep track of patient interactions: While managing a high outbound call volume, you'll use your expert listening and data entry skills to understand patient and provider requests and accurately document all interactions.

What You Should Have:

  • High School Diploma / GED required
  • 2 years Health Care experience with knowledge of medical/pharmacy insurance & terminology is preferred
  • Tech savvy - Strong computer & data entry skills, including all Microsoft products
  • High speed internet with wired ethernet connection
  • Private & quiet work space
  • Excellent communication skills (verbal & written)

What you’ll love about working here:

  • Fun, friendly & unique culture – Bring your whole self to work every day!
  • Medical Dental & Vision start 1st day
  • 18 days Paid Time Off & 8 Paid Holidays
  • Employer Contributions for HRA & HSA accounts
  • 401K + Company Match
  • Tuition Assistance

NOTE: You will be required to have reliable internet connectivity provided through a wired (Ethernet) connection.  A mobile or hot spot environment is not acceptable and you may need to purchase an Ethernet cord depending on your current set up. 


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: SeeYourself@cigna.com for support. Do not email SeeYourself@cigna.com 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.

Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.

Locations

  • Memphis, Tennessee, United States of America

Salary

Estimated Salary Rangemedium confidence

60,000 - 100,000 USD / yearly

* This is an estimated range based on market data and may vary based on experience and qualifications.

Skills Required

  • Medical/pharmacy insurance terminologyintermediate
  • Strong computer and data entry skillsintermediate
  • Microsoft products proficiencyintermediate
  • Excellent communication (verbal/written)intermediate
  • High outbound call volume managementintermediate

Required Qualifications

  • High School Diploma/GED (experience)
  • 2 years healthcare experience preferred (experience)

Responsibilities

  • Coordinate medication benefits and prior authorizations
  • Interact with insurance providers, doctors, healthcare providers
  • Document patient/provider interactions
  • Provide guidance on benefits, deductibles, co-payments

Benefits

  • general: Medical, Dental, Vision from day 1
  • general: 18 days PTO, 8 holidays
  • general: Employer HRA/HSA contributions
  • general: 401K match
  • general: Tuition assistance

Target Your Resume for "Eligibility Representative" , The Cigna Group

Get personalized recommendations to optimize your resume specifically for Eligibility Representative. Takes only 15 seconds!

AI-powered keyword optimization
Skills matching & gap analysis
Experience alignment suggestions

Check Your ATS Score for "Eligibility Representative" , The Cigna Group

Find out how well your resume matches this job's requirements. Get comprehensive analysis including ATS compatibility, keyword matching, skill gaps, and personalized recommendations.

ATS compatibility check
Keyword optimization analysis
Skill matching & gap identification
Format & readability score
Quiz Challenge

Answer 10 quick questions to check your fit for Eligibility Representative @ The Cigna Group.

10 Questions
~2 Minutes
Instant Score

Related Books and Jobs

No related jobs found at the moment.