Eligibility Representative - Accredo - Remote

Overview

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.

In Short

• Support the insurance clearance process by verifying pharmacy and medical benefits.
• Review and interpret insurance eligibility and coverage details.
• Initiate outbound communication with insurance plans and third-party payers.
• Navigate prior authorization processes and gather required information.
• Document benefit findings and authorization outcomes thoroughly.
• Manage multiple cases while meeting productivity expectations.
• Identify coverage discrepancies and take ownership of resolution.
• Apply feedback to improve accuracy and efficiency.
• Work with a compassionate and ambitious team.
• Must live and work remotely in specific states.

Requirements

• Minimum of 1 year experience in healthcare or health insurance.
• Direct experience with insurance plans or payers.
• Working knowledge of pharmacy and medical benefits.
• Experience documenting insurance information accurately.
• Ability to manage detailed work in a structured environment.
• Strong written and verbal communication skills.
• High School Diploma or equivalent required.

Benefits

• Fun, friendly, and unique culture.
• Choice of unique medical plans.
• Prescription Drug, Dental, Vision, and Life Insurance.
• 401K with Company Match.
• Paid Time Off and Paid Holidays.
• Tuition Assistance.