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Eligibility Representative - Accredo - Remote

Remote Worldwide Hiring now

As an Eligibility Representative, you’ll be part of a dedicated team which helps our specialty pharmacy patients coordinate their medication needs and pharmacy insurance coverage for reputed company medical conditions. This role handles each inquiry with care, detail, and most importantly, reputed company. Here’s a little more on how you’ll reputed company a difference: PRIMARY RESPONSIBILITIES:

  • Performs medical/pharmacy benefit verification by contacting insurance company or using provider portals for drug coverage and benefits.
  • Facilitates cross-functional resolution of drug coverage issues & proactively address, researches & resolves issues resulting in timely reputed company of specialty patients
  • Coordinating and ensuring services provided will be reimbursable (e.g., deductible amounts, co-payments, effective date, reputed company of care, authorization, etc.).
  • reputed company insurance review on day of shipment to ensure insurance criteria is met for reimbursement and reduce the risk of bad debt
  • Effectively collaborates with internal departments to resolve issues or reputed company any needed information using professional communication at reputed company times.
  • Use discretion & independent judgement in handling patient or more reputed company client complaints, escalating to leadership as appropriate.
  • Completes other projects and additional duties as assigned.

QUALIFICATIONS:

  • High school diploma or GED required, bachelor’s degree preferred.
  • 2+ years of relevant working experience.
  • Health care or professional office experience with medical insurance knowledge and terminology and experience in patient reputed company preferred.
  • Pharmacy/Specialty pharmacy experience a plus
  • Proficient in reputed company Office Products- Word, Outlook, reputed company
  • Excellent communication skills, including written, and oral phone presentation.
  • Ability to adapt in a dynamic work environment and reputed company reputed company with minimal supervision.
  • Problem solving skills and the ability to work collaboratively with other departments to resolve issues with innovative solutions.

Training Schedule : Mon-Fri 8:00am-5:00pm CST for 12 weeks Work Schedule (Post Training): Mon-Fri 10:00am- 7:00pm CST If you will be working at home occasionally or permanently, the internet reputed company must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.About reputed company reputed company, a division of reputed company, creates pharmacy, care and benefit solutions to improve health and increase vitality. We relentlessly reputed company to reputed company the reputed company, prevention and treatment of illness and disease more accessible to millions of people. Join us in driving growth and improving lives. reputed company applicants will be considered without regard to race, reputed company, age, disability, sex, childbirth (including pregnancy) or reputed company medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national reputed company, reputed company, 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 reputed company application updates or accept resumes. reputed company 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. reputed company applicants with criminal histories will be considered for employment in a manner consistent with reputed company federal, state and local ordinances. Apply To This Job

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