Unfortunately, this job posting is expired.
Don't worry, we can still help! Below, please find related information to help you with your job search.
Don't worry, we can still help! Below, please find related information to help you with your job search.
Related keywords
- Data Entry Clerk Work At Home
- Work at Home
- Work at Home Data Entry
- Work At Home Customer Service
- Work At Home Appointment Setter
- Work At Home Customer Service Representative
- Work At Home Collections Coordinator
- Customer Service Representative Work At Home
- Work At Home Hard Sales Representative
- Insurance Work At Home Roles
Some similar recruitments
Appointment Setter - Work From Home - Hiring This Week
Recruited by Fulcrum Group tx 8 months ago
Address Amarillo, TX, United States
At Home Caregiver Jobs
Recruited by Visiting Angels El Paso, TX 8 months ago
Address Anthony, TX, United States
At Home Caregiver Jobs
Recruited by Visiting Angels 8 months ago
Address , Caldwell
$15 - $20 an hour
Work From Home Data Entry Part Time - Customer Service Representative
Recruited by Jobconversion, LLC 8 months ago
Address San Antonio, TX, United States
Jr Data Entry Clerk - Work From Home
Recruited by Smart-TECH Solutions 8 months ago
Address Dallas, TX, United States
Customer Service -Starting At $20/Hr
Recruited by Citi 8 months ago
Address , San Antonio, 78245, Tx
From $20 an hour
Customer Service Specialist - Remote Work
Recruited by dr LASER 8 months ago
Address El Paso, TX, United States
At Home Caregiver Jobs
Recruited by Visiting Angels El Paso, TX 8 months ago
Address Fort Bliss, TX, United States
At Home Caregiver Jobs
Recruited by Visiting Angels Billings, MT 8 months ago
Address Port Arthur, TX, United States
At Home Caregiver Jobs
Recruited by Visiting Angels Tyler, Tx 8 months ago
Address Colorado, United States
Apple Support College Program At Home Advisor - University Of Texas At Dallas
Recruited by Apple 8 months ago
Address Dallas, TX, United States
At Home Caregiver Jobs
Recruited by Visiting Angels Tyler, Tx 8 months ago
Address Bellaire, TX, United States
At Home Caregiver Jobs
Recruited by Visiting Angels Marble Falls, TX 8 months ago
Address Marble Falls, TX, United States
At Home Caregiver Jobs
Recruited by Visiting Angels Lufkin, TX 9 months ago
Address Woodville, TX, United States
Data Entry Clerk - Remote Work
Recruited by Link-up Overseas 9 months ago
Address San Antonio, TX, United States
100% Remote Work From Home Data Entry Clerk / Typing
Recruited by Day One Recruitment 9 months ago
Address Diboll, TX, United States
Recruiter At Jobot - Work 100% Remote!
Recruited by Jobot 9 months ago
Address Houston, TX, United States
Work From Home Data Entry Clerk / Typing
Recruited by HiTek Staffing LLC 9 months ago
Address Fort Worth, TX, United States
At Home Caregiver Jobs
Recruited by Visiting Angels Wichita Falls, TX 9 months ago
Address Bowie, TX, United States
Appointment Clerk, Starting At $15.50 Hr
Recruited by R+L Carriers 9 months ago
Address Waller, TX, United States
Data Entry Clerk Job Opening- Work From Home! E
Recruited by Dackdhaulage 9 months ago
Address Conroe, TX, United States
At Home Caregiver Jobs
Recruited by Visiting Angels Tyler, Tx 9 months ago
Address Mineola, TX, United States
Data Entry Clerk - Remote Work
Recruited by Staffing Now 9 months ago
Address Dallas, TX, United States
At Home Caregiver Jobs
Recruited by Visiting Angels West Texas 9 months ago
Address Midland, TX, United States
At Home Caregiver Jobs
Recruited by Visiting Angels Amarillo, TX 9 months ago
Address Borger, TX, United States
At Home Caregiver Jobs
Recruited by Visiting Angels Tyler, Tx 9 months ago
Address Kerrville, TX, United States
At Home Caregiver Jobs
Recruited by Visiting Angels San Angelo, TX 9 months ago
Address Tennyson, TX, United States
At Home Caregiver Jobs
Recruited by Visiting Angels Lufkin, TX 9 months ago
Address Lufkin, TX, United States
Seniors Who Want To Help Other Seniors Remain Independent At Home
Recruited by Seniors Helping Seniors® 9 months ago
Address Garland, TX, United States
At Home Caregiver Jobs
Recruited by Visiting Angels Paris, TX 10 months ago
Address Paris, TX, United States
Customer Service In Fraud-Starting At $20/Hr
Recruited by Citi 10 months ago
Address San Antonio, TX, United States
At Home Caregiver Jobs
Recruited by Visiting Angels Marble Falls, TX 10 months ago
Address Burnet, TX, United States
Data Entry Clerk (Remote Work)
Recruited by Oakwood Village 10 months ago
Address Bow, NH, United States
Data Entry Clerk - Work From Home - %100 Remote
Recruited by Focus Group Panel 10 months ago
Address Wylie, TX, United States
(Work At Home) Data Entry - Remote - Admin Assistant
Recruited by Focus Group Panel 10 months ago
Address Rowlett, TX, United States
Data Entry - Typist Online Work
Recruited by 2workonline 10 months ago
Address Austin, TX, United States
Data Entry - Typist Online Work
Recruited by 2workonline 10 months ago
Address Plano, TX, United States
Remote Work From Home Data Entry Clerk / Typing
Recruited by Bloom Talent 10 months ago
Address Carrollton, TX, United States
Remote Work From Home Data Entry Clerk / Typing
Recruited by StemHires Staffing & Recruiting 10 months ago
Address McKinney, TX, United States
Appointment Setter - Work From Home - Hiring This Week
Recruited by Fulcrum Group tx 10 months ago
Address Corpus Christi, TX, United States
Appointment Setter - Work From Home - Hiring This Week
Recruited by Fulcrum Group tx 10 months ago
Address El Paso, TX, United States
Appointment Setter - Work From Home - Hiring This Week
Recruited by Fulcrum Group tx 10 months ago
Address Arlington, TX, United States
(100% Remote) Work At Home Research Panelist
Recruited by Focus Group Panel 10 months ago
Address Katy, TX, United States
Eligibility Representative - Accredo - Work At Home
Company | The Cigna Group |
Address | , Tempe, 85281 |
Employment type | FULL_TIME |
Salary | |
Expires | 2023-10-14 |
Posted at | 8 months ago |
**Must reside within 50-mile radius of:
Warrendale, PA
Orlando, FL
Tempe, AZ
Memphis, TN The Eligibility Representative performs specialized patient access functions requiring an advanced understanding of insurance benefits and internal processes in order to successfully liaise with Payers, Pharma, Physicians, and Patients. Relies on experience and knowledge of industry best practices to communicate knowledge of pending referrals that may have an adverse impact on company goals and the patient experience. Acts as a liaison between both internal and external resources to reduce client abrasion, facilitate the timely processing of referrals. This individual can proactively recognize cause and effect trends, identify and clarify patients’ needs, and work towards solutions. PRIMARY RESPONSIBILITIES:
Facilitates cross-functional resolution of drug coverage issues & proactively address, research & resolves issues impacting referral turn-around time.
Independently resolves basic patient claims issues using key subject matter knowledge.
Prepares and reviews claims to ensure accuracy to payer requirements, including but not limited to codes, dates, and authorizations.
Demonstrates a technical proficiency to patient access functions.
Effectively collaborates with internal departments to resolve issues or provide any needed information using professional communication at all times.
Contacts benefit providers to gather policy benefits/limitations.
Coordinating and ensuring services provided will be reimbursable (e.g., deductible amounts, co-payments, effective date, levels of care, authorization, etc.).
Performs medical /pharmacy benefit verification requiring complex decision skills based on payer and process knowledge.
Provide expert assistance to internal and external clients on patient status.
Handle Escalations with expert understanding on department policies and procedures.
Use discretion & independent judgement in handling patient or more complex client complaints, escalating as appropriate and when to triage as needed.
Completes other projects and additional duties as assigned. QUALIFICATIONS:
High school diploma or GED required; bachelor’s degree preferred.
1-2 years of Health care experience with medical insurance knowledge and terminology and experience in patient access preferred.
Intermediate data entry skills and working knowledge of Microsoft Office, Patient Access knowledge.
Extensive knowledge of ESI products and services a must.
Experience training and coaching less experienced staff with patience to explain details and processes repeatedly.
Excellent phone presentation and communication skills.
Demonstrated ability to handle challenging customers in a professional manner.
Ability to adapt in a dynamic work environment and make decisions with minimal supervision.
Advanced problem-solving skills and the ability to work collaboratively with other departments to resolve issues with innovative solutions. What you’ll love about working here:
Fun, friendly & unique culture – Bring your whole self to work every day!
Medical Dental & Vision start on Day 1
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 setup.
ABOUT ACCREDO
Through our range of healthcare products and services offered, Accredo team members provide in-depth care for patients with chronic health conditions like hemophilia, oncology, rheumatoid arthritis, and growth hormone deficiency. In addition to healthcare products, we provide comprehensive management services – including outcomes measurement, counseling, clinical care management programs, social services, and reimbursement services. By performing in these very high-touch roles, employees have a daily opportunity to positively impact their patients’ lives.
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.
Warrendale, PA
Orlando, FL
Tempe, AZ
Memphis, TN The Eligibility Representative performs specialized patient access functions requiring an advanced understanding of insurance benefits and internal processes in order to successfully liaise with Payers, Pharma, Physicians, and Patients. Relies on experience and knowledge of industry best practices to communicate knowledge of pending referrals that may have an adverse impact on company goals and the patient experience. Acts as a liaison between both internal and external resources to reduce client abrasion, facilitate the timely processing of referrals. This individual can proactively recognize cause and effect trends, identify and clarify patients’ needs, and work towards solutions. PRIMARY RESPONSIBILITIES:
Facilitates cross-functional resolution of drug coverage issues & proactively address, research & resolves issues impacting referral turn-around time.
Independently resolves basic patient claims issues using key subject matter knowledge.
Prepares and reviews claims to ensure accuracy to payer requirements, including but not limited to codes, dates, and authorizations.
Demonstrates a technical proficiency to patient access functions.
Effectively collaborates with internal departments to resolve issues or provide any needed information using professional communication at all times.
Contacts benefit providers to gather policy benefits/limitations.
Coordinating and ensuring services provided will be reimbursable (e.g., deductible amounts, co-payments, effective date, levels of care, authorization, etc.).
Performs medical /pharmacy benefit verification requiring complex decision skills based on payer and process knowledge.
Provide expert assistance to internal and external clients on patient status.
Handle Escalations with expert understanding on department policies and procedures.
Use discretion & independent judgement in handling patient or more complex client complaints, escalating as appropriate and when to triage as needed.
Completes other projects and additional duties as assigned. QUALIFICATIONS:
High school diploma or GED required; bachelor’s degree preferred.
1-2 years of Health care experience with medical insurance knowledge and terminology and experience in patient access preferred.
Intermediate data entry skills and working knowledge of Microsoft Office, Patient Access knowledge.
Extensive knowledge of ESI products and services a must.
Experience training and coaching less experienced staff with patience to explain details and processes repeatedly.
Excellent phone presentation and communication skills.
Demonstrated ability to handle challenging customers in a professional manner.
Ability to adapt in a dynamic work environment and make decisions with minimal supervision.
Advanced problem-solving skills and the ability to work collaboratively with other departments to resolve issues with innovative solutions. What you’ll love about working here:
Fun, friendly & unique culture – Bring your whole self to work every day!
Medical Dental & Vision start on Day 1
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 setup.
ABOUT ACCREDO
Through our range of healthcare products and services offered, Accredo team members provide in-depth care for patients with chronic health conditions like hemophilia, oncology, rheumatoid arthritis, and growth hormone deficiency. In addition to healthcare products, we provide comprehensive management services – including outcomes measurement, counseling, clinical care management programs, social services, and reimbursement services. By performing in these very high-touch roles, employees have a daily opportunity to positively impact their patients’ lives.
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.
-
Systems Analyst - Excel, Xml, Sql, Scripting
By CyberCoders At Salt Lake City, UT, United States 7 months ago
-
(Senior) Finance & Shared Services Manager
By Catholics For Choice At Washington, DC, United States 7 months ago
-
Paralegal - Probate Administration
By CyberCoders At Miami, FL, United States 7 months ago
-
Account Executive - Automotive Software
By ECW Search At United States 7 months ago
-
Construction Project Coordinator Jobs
By CyberCoders At River Falls, WI, United States 7 months ago