What you’ll do:
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 parties 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 DPL and Vista, with deliverables, completion dates and status of accounts
What you’ll need:
High school Diploma or equivalent
3+ years of relevant working experience
2+ years Health care experience with medical insurance knowledge/terminology and experience in patient access preferred
Exposure to Facets/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
We expect the shift for this role will be Monday-Friday normal business hours, however shifts can change based on business needs.
This role is WAH/Flex which allows most work to be performed at home. Employees must be fully vaccinated if they choose to come onsite.
NOTE : This is a virtual position and you will be required to have reliable internet connectivity provided through a wired connection. A mobile or hot spot environment is not acceptable and you may need to purchase an Ethernet cord depending on your current set up.
This position is not eligible to be performed in Colorado.
Cigna Corporation exists to improve lives. We are a global health service company dedicated to improving the health, well-being and peace of mind of those we serve. Together, with colleagues around the world, we aspire to transform health services, making them more affordable and accessible to millions. Through our unmatched expertise, bold action, fresh ideas and an unwavering commitment to patient-centered care, we are a force of health services innovation. When you work with us, or one of our subsidiaries, you’ll enjoy meaningful career experiences that enrich people’s lives. What difference will you make?
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 require reasonable accommodation in completing the online application process, please email: [email protected] for support. Do not email [email protected] for an update on your application or to provide your resume as you will not receive a response.
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