Eligibility Lead Representative
pyramidBirmingham, AL
$25.18/hour
Apply nowEligibility Lead Representative
L3
pyramidBirmingham, AL2 days ago
$25.18/hour
Occupations
Customer Service RepresentativesPatient RepresentativesMedical Secretaries and Administrative AssistantsIndustries
Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension FundsTemporary Help ServicesEmployment Placement AgenciesEligibility 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.
Apply now
Level
JuniorL3
Salary
$25.18/hour
Location
Birmingham, AL
Occupation
Customer Service Representatives
Industry
Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds
Posted
2 days ago
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