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 complex medical conditions
Job Summary
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 complex medical conditions.
Performs medical/pharmacy benefit verification by contacting insurance company or using provider portals for drug coverage and benefits.
Effectively collaborates with internal departments to resolve issues or provide any needed information using professional communication at all times.
Matching Summary
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 complex medical conditions.
Skills & Requirements
Must-have
Medical/pharmacy benefit verification
Resolve drug coverage issues
Coordinate reimbursable services
Insurance review for reimbursement
Collaborate with internal departments
Nice-to-have
Empathy in patient interaction
Adapt to dynamic work environment
Innovative problem-solving solutions
Key Requirements
High school diploma or GED
2+ years relevant working experience
Health care or professional office experience
Medical insurance knowledge and terminology
Proficient in Microsoft Office Products
Excellent communication skills
Ability to make decisions with minimal supervision