Intake Care Representative- Evernorth- Remote

Intake Care Representative -Evernorth- CarePathRx

At CarepathRx, we believe every patient interaction matters. As an Intake Care Representative, you will be a trusted first point of connection-helping patients, providers, and care partners move DME (Durable Medical Equipment) referrals forward with clarity, compassion, and precision. This role is ideal for someone who enjoys solving problems, collaborating across teams, and contributing to timely, high-quality patient care. You will grow your healthcare expertise while supporting work that truly makes a difference.

Hours: Monday-Friday, 8:30am-5pm ET

Responsibilities

• Serve as a primary contact for incoming DME referrals, providing clear information on pricing, order status, timelines, and qualification requirements

• Advance referrals from intake to readiness by reviewing documentation, identifying gaps, and securing required clinical or insurance information

• Verify insurance eligibility and financial responsibility using internal systems, payer portals, and outreach to ensure accurate patient records

• Create and maintain complete patient accounts, including demographics, documentation uploads, and authorization details

• Coordinate intake workflows across calls, emails, faxes, and hospital portals to support timely order progression

• Apply Medicare and same-or-similar guidelines to promote accurate and compliant processing

• Monitor referral status within hospital and facility systems and communicate updates or next steps

• Post payments accurately and support clean, well-maintained account balances

• Partner with teammates to balance workload and support continuous improvement

Qualifications

Required Qualifications

• High School Diploma or GED

• Ability to manage multiple workflows while maintaining attention to detail

• Strong written and verbal communication skills

• Proficiency in Microsoft Office and data entry

Preferred Qualifications

• Minimum of 1 year of experience in customer service, intake, clerical, or administrative support

• Experience in a healthcare, pharmacy, DME, or medical office environment

As part of Evernorth Health Services, CarepathRx teams are ambitious, compassionate experts advancing pharmacy and care delivery alongside hospitals and health systems nationwide. We invest in people who are curious, resilient, and motivated to grow-while keeping patients at the heart of everything we do.

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.

About The Cigna Group

Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we're dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. Join us in driving growth and improving lives.

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 need a reasonable accommodation to complete the online application process, please email [email protected] for assistance. Please note that this email inbox is dedicated to accommodation requests only and cannot provide application updates or accept resumes.

The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.

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