Eligibility Account Specialist - Remote

Do you want to improve the health and vitality of those we serve? The Cigna Group is hiring several Eligibility Account Specialists who will be responsible for all aspects of coordinating open enrollment files and file maintenance with automated eligibility processing.

This also includes 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 to make a difference


* 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 partners 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 Vista and Salesforce, with deliverables, completion dates and status of accounts

Requirements:


* 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 highly preferred


* Salesforce experience a plus


* 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 24 - 40 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 1...