2 years healthcare experience with medical insurance knowledge
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The Senior Eligibility Representative at Express Scripts is a remote position focused on managing patient access functions that require expertise in insurance benefits. The role involves collaborating with various stakeholders to resolve drug coverage issues and enhance patient experiences.
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Job Summary
The Senior Eligibility Representative performs specialized patient access functions requiring an advanced understanding of insurance benefits to liaise with Payers, Pharma, Physicians, and Patients.
This role involves facilitating cross-functional resolution of drug coverage issues and proactively addressing problems that impact referral turn-around time.
Employees in this high-touch role have a daily opportunity to make a positive impact on patients' lives by providing comprehensive management services for chronic health conditions.
Matching Summary
Match Score: 75
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The Senior Eligibility Representative at Express Scripts is a remote position focused on managing patient access functions that require expertise in insurance benefits. The role involves collaborating with various stakeholders to resolve drug coverage issues and enhance patient experiences.
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Skills & Requirements
Must-have
Advanced understanding of insurance benefits
3+ years relevant working experience
2 years healthcare experience with medical insurance knowledge
Intermediate data entry skills
Microsoft Office working knowledge
Nice-to-have
Pharmacy or healthcare industry experience
Prior exposure to Express Scripts
Experience training and coaching staff
Excellent phone presentation skills
Ability to handle challenging customers professionally
Key Requirements
High school diploma or GED required
Bachelor's degree preferred
Reside in Texas, Georgia, Pennsylvania, South Carolina, or Arizona
10Mbps download/5Mbps upload internet connection required for remote work
Work Rights
Must reside in specific US states (TX, GA, PA, SC, AZ)