Remote Insurance Verification Coordinator Specialty Care

Cigna Health and Life Insurance Company; Missouri; Hybrid; USD 24,000 - 36,000; Full time

Benefits offered by this job

Annual bonus plan

Job summary

Insurance Verification Coordinator, Specialty (Eligibility Representative) at Evernorth - Remote Position. You will verify insurance coverage, explain benefits, and handle reimbursement requirements to create a smooth experience for patients and providers.

Hours are Mon-Fri 8:30am-5:00pm EST, with opportunities for annual bonus eligibility. Role supports CarepathRx within our Pharmacy and Care Delivery organization, focusing on specialty pharmacy and infusion services.

Qualifications

• High school diploma or GED is required.
• 1+ year experience in insurance verification or related healthcare role.
• Knowledge of medical terminology and payer communications terminology.
• Proficient computer skills, including Microsoft Office.
• Strong math, communication, and organizational skills.

Responsibilities

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

Skills

Communication

Organizational skills

Math skills

Medical terminology

Education

High school diploma or GED

Tools

Microsoft Office

Job description

Insurance Verification Coordinator, Specialty (Eligibility Representative) at Evernorth - Remote Position. You will verify insurance coverage, explain benefits, and handle reimbursement requirements to create a smooth experience for patients and providers.

Hours are Mon-Fri 8:30am-5:00pm EST, with opportunities for annual bonus eligibility. Role supports CarepathRx within our Pharmacy and Care Delivery organization, focusing on specialty pharmacy and infusion services.