As an Eligibility Representative in Patient Access for 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.
Responsibilities
· 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.
Qualifications
· Previous Customer Service experience
· Previous healthcare experience/insurance is preferred
· General PC knowledge including experience working with Microsoft Office
· Excellent written and verbal communication skills
Requirements
· High School Diploma / GED required; a bachelor’s degree is preferred.
· Must have reliable internet connectivity through a wired internet connection. (Hot spots or mobile internet are not allowed)
· Must have a private dedicated workspace that is free of distractions.
· Availability to attend 100% of training within the first 90 days of employment.
What you’ll love about working here:
Great working environment in our Dublin office
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
About Accredo:
Through our range of health care products and services offered, Accredo team members provide in-depth care for patients with chronic health conditions like hemophilia, oncology, rheumatoid arthritis and growth hormone deficiency. In addition to health care products, we provide comprehensive management services – including outcomes measurement, counseling, clinical care management programs, social services and reimbursement services. By performing in these very high-touch roles, employees have a daily opportunity to make a positive impact on their patients’ lives.
About Evernorth Health Services
Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality. We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people. Join us in driving growth and improving lives.Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.
If you require reasonable accommodation in completing the online application process, please email: SeeYourself@cigna.com for support. Do not email SeeYourself@cigna.com for an update on your application or to provide your resume as you will not receive a response.
The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.
Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.