Job description
As an Eligibility Account Specialist , you would be responsible for all aspects of coordinating open enrollment files and file maintenance with automated eligibility processing. This may also include setups for clients who are switching vendors. This role will support clients specifically on the Facets platform that are managed on the Eligibility Services team within Client Operations .What you’ll do:
Manage the end-to-end automated eligibility maintenance process for existing clients leveraging automated eligibility file feeds ensuring health of file and overall book of business
Work with internal and external clients on completion of all documentation required for open enrollment process
Load final files into production and generate reports to identify and resolve discrepancies
Communicate ongoing automated eligibility status to internal and external partners
Identify process improvement opportunities
Drive results with third party vendors to ensure timely access to care for clients/customers
Update all tracking tools, including DPL and Vista, with deliverables, completion dates and status of accounts
What you’ll need:
High school Diploma or GED required
2+ years of health care experience with medical insurance knowledge/terminology and experience in patient access preferred
Exposure to Facets/electronic data interchange (EDI)/eligibility is preferred
Strong client/customer-centric focus and ability to work directly with clients, brokers and third party vendors in a client-facing role
Strong technical, problem solving and analytical skills
Demonstrated ability to learn and apply knowledge
Ability to manage multiple and divergent priorities
Proficiency with multiple software and system-based applications
Excellent communication, interpersonal and organizational skills
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.
For this position, we anticipate offering an hourly rate of 22 - 38 USD / hourly, depending on relevant factors, including experience and geographic location.
This role is also anticipated to be eligible to participate in an annual bonus plan.
We want you to be healthy, balanced, and feel secure. That’s why you’ll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you’ll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k) with company match, company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, visit Life at Cigna Group .
About The Cigna Group
Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we’re dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. 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.
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