This is a temporary contract opportunity with The Cigna Group through Magnit, an enterprise third-party vendor for contingent work.
Role: Eligibility Representative
Remote - 33726891
Skills & Experience:
- 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.
- Familiar 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.
- *Insurance Experience a Plus*
- *Call Center Experience a Plus*
Education:
- High School Diploma
- Pharmacy background is not necessary but preferred, work at home experience, computer savvy, must be familiar with Microsoft programs specifically Excell & Word, PowerPoint & one note, must be reliable with great attendance.
- **Candidates will make and take calls with this role, but it is production based, not an inbound phone role or contact center job.**
Location and Schedule Notes
- Training Schedule 8:30am - 5pm EST Monday - Friday
- 8am - 6:30pm EST after Training - schedule will be based on need Training Length: 4 weeks classroom training, 2 weeks on the job training.
- 100% Remote but the manager wants candidates within the Warrendale, PA area in case they need to come onsite occasionally
- Notes: Candidates must be reliable, with reliable internet. Must have the ability and experience to WAH. Must know how to set up equipment and navigate a computer.
Hourly Pay Rate Range (dependent on location, experience, and expectation)
The pay range that Magnit reasonably expects to pay for this position is: $15.00-$20.00/hr
Benefits: Medical, Dental, Vision, 401K (provided minimum eligibility hours are met)
