Eligibility Representative

Job Description:

• Collect and document referral information via fax, email, or electronic medical record portal
• Answer incoming calls related to referrals
• Enter new patient and referral source details into the system
• Notify intake coordinator of pending referrals
• Assist with phone communication and clerical tasks as needed
• Maintain confidentiality and accuracy in all processes
• Perform other duties as assigned
• Support CarepathRx within Evernorth Health Services’ Pharmacy and Care Delivery organization

Requirements:

• High school diploma or GED
• 1+ year of insurance verification, prior authorization, or related experience in a pharmacy or healthcare setting
• Knowledge of medical terminology
• Strong computer skills and familiarity with Microsoft Office (Outlook, Word, Excel)
• Strong customer service focus and teamwork
• Excellent verbal and written communication skills
• Organized, detail-oriented, and able to multitask
• Ability to prioritize and manage multiple tasks effectively
• Ability to work Monday-Friday, 10:30am-7pm ET, with rotating weekend days and holidays
• If working at home, internet connection through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload

Benefits:

• Remote work arrangement
• Monday-Friday schedule with rotating weekend days and holidays
• Cable broadband or fiber optic internet requirement for home working with at least 10Mbps download/5Mbps upload
• Tobacco-free policy