Account Manager Associate – CarepathRx - Remote

Cigna Health and Life Insurance Company; Pennsylvania; Hybrid; USD 25,000 - 26,000; Full time

Benefits offered by this job

Medical insurance

Vision insurance

Dental insurance

Well-being program

Behavioral health program

401(k)

Life insurance

Tuition reimbursement

Paid time off (18 days/year)

Paid holidays

Leaves of absence

Job summary

The Cigna Group seeks an Account Manager Associate to support patients, caregivers, referral sources, and Account Managers through infusion and specialty pharmacy services. You will verify insurance coverage, coordinate documentation, explain financial responsibilities, and help transitions to home-based care.

Responsibilities include insurance verification, demographic and payer data entry, and obtaining authorizations.

Qualifications

• Experience in customer service within healthcare or insurance settings.
• Familiarity with insurance verification and billing processes.
• Detail-oriented with strong organization and communication skills.

Responsibilities

• Support Account Management team with customer and patient service needs across Infusion and Specialty Pharmacy programs.
• Complete insurance verification activities and document coverage details in the patient management system.
• Enter and maintain patient demographics, services, payer information, and other records.
• Obtain insurance authorizations and precertifications for specialty or infusion services.
• Communicate benefit details, price quotes, and financial responsibilities to referral sources, patients, caregivers, and family members.
• Coordinate payment agreements, financial assistance forms, and payer-required documentation.
• Partner with referral sources to gather supporting documentation needed to qualify patients for coverage.
• Follow up with hospital staff regarding discharges and coordinate next steps under Account Manager guidance.
• Notify servicing agencies of delivery timing and coordinate orders and documentation for patient care.
• Protect patient confidentiality while delivering courteous, reliable, and responsive service.

Skills

Customer service

Healthcare administration

Insurance verification

Billing

Collections

Education

Associate degree

Tools

Microsoft Word

Outlook

Patient management systems

Job description

Account Manager Associate – CarepathRx Join CarepathRx as an Account Manager Associate, where you will support patients, caregivers, referral sources, and Account Managers throughout the infusion and specialty pharmacy service process. In this role, you will help confirm insurance coverage, coordinate required documentation, communicate financial responsibilities, and support timely transitions to home-based care.

Responsibilities

• Support the Account Management team with customer and patient service needs across Infusion and Specialty Pharmacy programs.
• Complete insurance verification activities and document coverage details accurately in the patient management system.
• Enter and maintain patient demographics, services, payer information, and other required records.
• Obtain insurance authorizations and precertifications required for specialty or infusion services.
• Communicate benefit details, price quotes, and financial responsibilities to referral sources, patients, caregivers, and family members.
• Coordinate payment agreements, financial assistance forms, advance beneficiary notices, and payer-required documentation.
• Partner with referral sources and liaisons to gather supporting documentation needed to qualify patients for coverage.
• Follow up with hospital staff regarding potential discharges and coordinate next steps under Account Manager guidance.
• Notify servicing agencies of delivery timing and coordinate orders and documentation needed for patient care.
• Protect patient confidentiality while delivering courteous, reliable, and responsive customer service.

Required Qualifications

• Minimum 1 year of customer service, healthcare administration, insurance verification, billing, collections, or related experience.
• Strong organizational and communication skills with the ability to manage multiple priorities in a fast-paced environment.
• Basic proficiency with Microsoft Word, Outlook, and computer-based patient or business systems.
• Ability to communicate clearly and professionally with patients, caregivers, referral sources, payers, agencies, and internal partners.
• Strong attention to detail and commitment to accurate, high-quality work.
• Demonstrated reliability, follow-through, and customer-service orientation.
• Ability to maintain confidentiality of patient and business information.

Preferred Qualifications

• Associate degree or equivalent business or healthcare experience.
• Two or more years of experience in durable medical equipment, enteral services, billing, collections, or insurance verification.
• Knowledge of medical terminology, payer requirements, Medicare documentation, or prior authorization processes.
• Experience supporting infusion, specialty pharmacy, or home-based patient services.

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 17.75 - 19 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.

At The Cigna Group, 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), company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year, paid holidays, and leaves of absence.

For more details on our employee benefits programs.

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 need a reasonable accommodation to complete the online application process, please email [e-mail] for assistance. Please note that this email inbox is dedicated to accommodation requests only and cannot provide application updates or accept resumes.

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.

Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.