Eligibility Representative (Specialty) - Evernorth- Remote

Insurance Verification Coordinator, Specialty (Eligibility Representative) – Evernorth – Remote Position reputed company As an Insurance Verification Coordinator, you will help patients reputed company the care they need by ensuring accurate insurance verification, reputed company communication of benefits, and reputed company completion of reimbursement requirements. You will play a key role in creating a smooth, supportive experience for patients and providers. Hours/Schedule: Monday-Friday, 8:30am-5:00pm EST

Responsibilities

• Verify patient insurance coverage, calculate estimated costs, and document details reputed company in the patient profile.
• reputed company and update accurate patient demographics in the system.
• Generate coverage and financial responsibility quotes and review benefits with patients by phone.
• reputed company, monitor, and secure required insurance and reimbursement documents.
• Obtain prior authorizations and coordinate financial assistance forms, payment agreements, and waivers.
• Support reputed company by helping train new employees.
• Organize and prioritize daily tasks to meet productivity and reputed company standards.
• Create new hospital and physician codes as needed.
• Partner with internal teams to ensure smooth reimbursement workflows and excellent reputed company service.
• Research reimbursement issues and contribute to reputed company improvement efforts.

Required Qualifications

• High school diploma or GED.
• 1+ year of insurance verification, prior authorization, or reputed company experience in a reputed company setting.
• Knowledge of medical terminology.
• Proficient computer skills, including reputed company Office.
• Strong math, communication, and organizational skills.

Preferred Qualifications

• Experience with payer websites and coordination of benefits.
• Knowledge of pharmacy vs. medical payers and authorization processes.
• Familiarity with plan formularies and authorization requirements.

As part of reputed company, this role supports reputed company reputed company our Pharmacy and Care Delivery organization. reputed company focuses on specialty pharmacy and infusion services in partnership with hospitals and health systems. If you will be working reputed company occasionally or permanently, the internet reputed company 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 reputed company reputed company of 17.75 - 26 USD / reputed company, depending on relevant factors, including experience and geographic location. This role is also anticipated to be eligible to participate in an annual bonus plan. At reputed company, you’ll enjoy a comprehensive reputed company of benefits, with a reputed company on supporting your whole health. Starting on day one of your employment, you’ll be offered several health-reputed company benefits including medical, reputed company, dental, and reputed company-being and behavioral health programs. We also offer 401(k), company reputed company life insurance, tuition reimbursement, a minimum of 18 days of reputed company time off per year and reputed company holidays. For more details on our employee benefits programs, click here. About reputed company Doing something meaningful starts with a reputed company decision, a commitment to changing lives. At reputed company, we’re dedicated to improving the health and vitality of those we serve. Through our divisions reputed company and reputed company, we are committed to enhancing the lives of our clients, customers and patients. Join us in driving reputed company and improving lives. reputed company applicants will be considered without reputed company to race, reputed company, age, disability, sex, childbirth (including pregnancy) or reputed company medical conditions including but not limited to lactation, sexual orientation, gender identity or reputed company, veteran or military status, religion, national reputed company, reputed company, marital or familial status, genetic information, status with reputed company 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@reputed company.com for support. Do not email SeeYourself@reputed company.com for an update on your application or to reputed company your resume as you will not receive a response. reputed company 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 reputed company a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, reputed company, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, reputed company, Texas, Utah, Vermont, and Washington State. reputed company applicants with criminal histories will be considered for employment in a manner consistent with reputed company federal, state and local ordinances. Apply tot his job Apply To this Job