This position is a temporary assignment. As a contractor, you’ll be employed by Magnit, not The Cigna Group or any subsidiaries of The Cigna Group.

Job Title: Eligibility Representative

Location:

This is a fully remote role open to candidates across the US.
Flexible 7am-8pm CDT
 
ROLE OVERVIEW:

Delivers straightforward administrative and/or other basic business services in Eligibility. 

Implements and maintains eligibility for benefits. 

Implements, updates, and maintains automated, direct connect and/or manual eligibility data. 

Interacts with internal partners and/or external clients/vendors. 

Generates reports to identify and resolve discrepancies. 

Identifies process improvement opportunities for own cases. 

May negotiate and resolve eligibility with clients. 

May provide technical support for the electronic processing of eligibility. 

Ensures customer data is installed accurately and timely. 

May work with client's format and internal Systems to resolve errors. 

May interact with Systems to resolve technical issues. 

General knowledge of manual and automated eligibility. 

Familiarity with reporting tools. 

Technical understanding of systems. Issues tend to be routine in nature. 

Good knowledge and understanding of Eligibility and business/operating processes and procedures. 

Works to clearly defined procedures under close supervision.

Reviews accounts to understand action item needed and communicates clearly when needed.

Contacts payor to request overrides, authorizations, additional documentation to work a rejected claim (denial)

Frequent follow up with payers and/or patients on outstanding accounts.

Help with special projects when needed

Works with plans and providers to ensure drug coverage issues are proactively addressed and resolved, benefits are accurately obtained and coordinated to ensure services provided will be reimbursable.

Responds to billing inquiries and questions relating to patient accounts

SKILLS & EXPERIENCE:

2+ years’ relevant experience in Healthcare

Experience in Patient Access. Benefits Investigations, Prior Aiuthorizartions, Claims – strongly preferred

Strong Customer Service Experience

Excellent Communication Skills

Good Computer proficiency to acclimate to train on use of internal tools

Education:
High School Diploma

Hourly Pay Rate Range (dependent on location, experience, expectation)  

The pay range that Magnit reasonably expects to pay for this position is: $17.00/hour-$17.00/h/ hour  

Benefits: Medical, Dental, Vision, 401K (provided minimum eligibility hours are met)  

REF: 36390056