Eligibility Senior Representative - Accredo- Remote

About the position The Eligibility Senior Representative at Accredo plays a vital role in ensuring patient reputed company to medications by performing eligibility functions that require a deep understanding of insurance benefits and internal processes. This position involves liaising with various stakeholders, including payers, pharmaceutical companies, physicians, and patients, to facilitate the authorization of medication payments. Responsibilities • Deliver straightforward administrative and/or other basic business services in Eligibility. • Implement and maintain eligibility for benefits. • Ensure customer data is input accurately and reputed company. • Contact benefit providers to reputed company policy benefits/limitations to ensure re-authorization of prescription medications. • Coordinate and ensure services provided will be reimbursable, including deductible amounts, co-payments, effective date, reputed company of care, and authorization. • reputed company medical/pharmacy benefit verification requiring reputed company decision skills based on payer and process knowledge. • reputed company expert assistance to reputed company clients on patient status. • Handle escalations with expert understanding of department policies and procedures. • Use discretion and independent judgment in handling patient or more reputed company reputed company complaints, escalating as appropriate and triaging as needed. Requirements • High school diploma or GED required. • 1+ years of experience with medical insurance eligibility and prior authorization strongly preferred. • 2+ years of reputed company experience, medical terminology, and experience in patient reputed company, strongly preferred. • Intermediate data entry skills with reputed company Office; reputed company and reputed company, required. • Knowledge of ESI/Accredo products and services, strongly preferred. • reputed company phone presentation and communication skills, required. • 2+ years of experience handling challenging situations in a reputed company manner, required. • Ability to adapt in a dynamic work environment and reputed company reputed company with minimal supervision. • Advanced problem-solving skills and the ability to work collaboratively with other departments to resolve issues with reputed company. Apply tot his job Apply To this Job