Eligibility Lead Representative

Posted yesterday

pyramidBirmingham (AL)

Customer Service Representatives Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds

SENIORITY

Junior

SALARY

$25.18/hour

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About the role

Eligibility Lead Representative Immediate need for a talented Eligibility Lead Representative. This is a 06+ Months Contract opportunity with long-term potential and is located in Birmingham, AL (Hybrid). Please review the job description below and contact me ASAP if you are interested.

Job ID: 26-30726 Pay Range: $25.18/hour. Employee benefits include, but are not limited to, health insurance (medical, dental, vision), 401(k) plan, and paid sick leave (depending on work location).

Key Responsibilities:

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 while meeting quality and production metrics.
Utilize advanced technical skills to navigate through multiple systems, applications, and platforms simultaneously.
Exercise independent judgment in managing escalated patient or client complaints, escalating further if needed.
Be available to work any shift between 7am to 8pm CST, Monday-FridayKey Requirements and Technology Experience:1+ years of customer service experience Required
High school diploma or GED Required
Proficiency with Microsoft Office products (Word, Outlook, Excel) Required
Experience navigating multiple systems and platforms Required
Pharmacy Technician experience or license Highly preferred 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
Strong customer service, healthcare/insurance knowledge, and soft skills are top non-negotiable skills for this role.
Our client is a leading Healthcare Industry and we are currently interviewing to fill this and other similar contract positions. If you are interested in this position, please apply online for immediate consideration.

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