Eligibility Representative - Evernorth - Remote

Overview

As an Insurance Eligibility Representative at Evernorth Health Services, you will help patients understand their insurance coverage and financial responsibilities, ensuring they can focus on their health.

In Short

• Deliver accurate insurance eligibility verification.
• Translate insurance benefits into clear cost estimates.
• Create and maintain complete patient profiles.
• Generate financial responsibility letters and review benefits with patients.
• Secure prior authorizations and required payer documentation.
• Coordinate financial assistance applications and payment agreements.
• Monitor reimbursement activity and identify issues early.
• Collaborate with internal partners for a seamless experience.
• Maintain productivity and quality standards.
• Contribute to continuous improvement of reimbursement workflows.

Requirements

• High school diploma or GED.
• Minimum 1 year of experience in insurance verification or related work.
• Working knowledge of medical terminology.
• Proficient in Microsoft Office.
• Strong math skills with attention to detail.
• Clear written and verbal communication skills.
• Strong organization and time management abilities.

Benefits

• Comprehensive health-related benefits starting day one.
• 401(k) and company paid life insurance.
• Tuition reimbursement.
• Minimum of 18 days of paid time off per year.
• Paid holidays.