Eligibility Lead Representative - Accredo - Remote

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*Must be able to work a shift between 7am to 8pm CST, Monday-Friday

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Want to Drive Growth and Improve Lives? Accredo, a specialty pharmacy line of business within The Cigna Group, is hiring several Eligibility Lead Representatives.

For this demanding role, you'll ensure our patients receive prescription insurance coverage for their very specialized medication.

You'll manage back-to-back; inbound and outbound calls collaborating with insurance providers, doctors' offices and patients gathering information to ultimately obtain insurance coverage.

Your persistence and continuous follow up will ensure our patients to receive this vital medication in a timely manner.

How you'll make a difference:


* Use your knowledge of the healthcare industry, Prescription Benefit Programs, pharmacy coverage, Reimbursement and Insurance processes to ensure patients get their specialty medication.



* Manage constant inbound and outbound calls exemplifying the highest customer service standards to meet quality and production metrics



* Use your advanced technical skills to navigate through multiple systems, applications and screens simultaneously all while speaking on the phone.



* Use your independent judgement in managing escalated patient or client complaints and discretion to escalate further if needed

What you'll need to be a success:


* High school diploma or GED, required


* 1+ years of customer service experience, required


* 2+ years of experience with Prescription Benefit Programs, Pharmacy Coverage, Prior Authorization, Eligibility or Insurance processes, preferred


* 2+ years of experience in healthcare, medical terminology, CPT and ICD codes Preferred


* Proficiency with Microsoft Office products (Word, Outlook, Excel) required


* Pharmacy Technician experience or license, preferred

REQUIREMENT : For those that reside in Missouri, this position requires that the applicant successfully complete registration with the Missouri State Board of Pharmacy as a pharmacy technician.

This process includes a criminal background check, fingerprinting, and a review of the last three years of state income tax filings.

Additional information about these requirements can be found at https://pr.mo.gov/boards/pharmacy/375-0408.pdf .

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 20 - 30 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.

We want you to be healthy, balanced, and feel secure.

That's why 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...