Insurance Verification Coordinator II- Evernorth

The job profile for this position is Eligibility Senior Representative, which is a Band 2 Professional Career Track Role.

Excited to grow your career?

We value our talented employees, and whenever possible strive to help one of our associates grow professionally before recruiting new talent to our open positions. If you think the open position you see is right for you, we encourage you to apply!

Our people make all the difference in our success.

As an Insurance Verification Coordinator, you will play a key role in helping patients access the care they need by verifying coverage, supporting reimbursement processes, and providing clear, compassionate communication. You will collaborate across teams, manage critical information, and ensure accuracy in insurance documentation to strengthen service delivery and patient experience.

Responsibilities

• Verify insurance coverage, calculate costs, and document details accurately in patient profiles.
• Enter and update patient demographics and maintain complete, organized records.
• Determine medical vs. pharmacy benefits and generate financial responsibility letters.
• Review benefits with patients and identify copay, foundation, or donated drug assistance programs.
• Secure required insurance documents and obtain prior authorizations when needed.
• Coordinate completion of financial assistance forms, payment agreements, and waivers.
• Assist with training new employees and support daily workflow organization.
• Create hospital and physician codes when necessary and support reimbursement research.
• Collaborate with team members to prioritize tasks and maintain a customer-focused service mindset.
• Meet quality and productivity standards, demonstrating reliability and strong follow‑through.
• Perform additional duties as assigned to support operational needs.

Required Qualifications

• High school diploma or GED.
• Minimum 2 years of insurance verification, prior authorization, or related healthcare experience.
• Knowledge of medical terminology, payer websites, eligibility, and coordination of benefits.
• Understanding of pharmacy vs. medical payer requirements and plan formularies.
• Proficient computer skills, including Microsoft Office.
• Strong math skills and attention to detail.

Preferred Qualifications

• Excellent communication, organization, and time‑management skills.
• Ability to work independently and maintain confidentiality.
• Experience working with reimbursement processes or healthcare documentation.

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 19 - 28 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 and paid holidays. For more details on our employee benefits programs, click here.

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.

Please note that you must meet our posting guidelines to be eligible for consideration. Policy can be reviewed at this link.

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