Eligibility Representative - Accredo - Remote

Accredo Health Group
310dHybrid

About The Position

As an Eligibility Representative - Accredo, you'll be part of a dedicated team which helps our specialty pharmacy patients coordinate their medication needs and pharmacy insurance coverage for complex medical conditions such as HIV, rheumatoid arthritis and cancer. This role is on the front lines with patients and doctors offices, responding to phone inquiries and addressing each with care, detail, and most importantly, empathy. Here's a little more on how you'll make a difference: Help patients get the medication they need. Use the knowledge you gain from training, your problem-solving skills and support from your team to answer patient calls effectively. You'll coordinate and ensure services are covered under insurance coverage and talk to patients about their deductibles, co-payments, and authorizations. Interact directly with healthcare providers. You'll research issues on benefits coverage with pharmacist and doctors' office and provide guidance to our patients about medication coverage. Juggle multiple tasks without sacrificing attention to detail. You will be busy handling multiple requests at any given time as well as documenting information from your conversations in our computer system.

Requirements

  • High School Diploma / GED required.
  • Bachelor's degree preferred.
  • Customer Service experience.
  • Health care experience with knowledge of medical insurance and terminology preferred.
  • General PC knowledge including experience working with Microsoft Office.
  • Excellent communication skills (verbal and written).

Responsibilities

  • Help patients get the medication they need.
  • Answer patient calls effectively using knowledge from training and problem-solving skills.
  • Coordinate and ensure services are covered under insurance coverage.
  • Discuss deductibles, co-payments, and authorizations with patients.
  • Research issues on benefits coverage with pharmacists and doctors' offices.
  • Provide guidance to patients about medication coverage.
  • Handle multiple requests while documenting information in the computer system.

Benefits

  • Fun, friendly, and unique culture.
  • Choice of three unique medical plans.
  • Prescription Drug, Dental, Vision and Life Insurance.
  • Employee Contributions for HRA and HSA accounts.
  • 401K with Company Match.
  • Paid Time Off and Paid Holidays.
  • Tuition Assistance.

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What This Job Offers

Industry

Merchant Wholesalers, Durable Goods

Education Level

High school or GED

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