Job Description :

Immediate need for a talented Eligibility Representative. This is a 04+ Months contract opportunity with long-term potential and is located in Memphis,TN(Remote). Please review the job description below and contact me ASAP if you are interested. 
 
Job ID:   23-35443
 
Pay Range: $18.69
/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:

  • The role is expected to help support patients access to care by assisting in medication reimbursement by engaging with prescriber and payers.
  • While working from home, Eligibility Representatives, are dedicated professionals assisting our specialty pharmacy patients coordinate their medication needs and pharmacy benefits coverage.
  • In this crucial role, you'll work with Insurance providers, doctors' offices and health care providers to obtain vital information to obtain prior authorization for drug therapies needed by our patients with Rare Diseases.
  • Here’s a little more on how you’ll make a difference:
  • Help patients get the medication they need: You’ll provide guidance to our patients about prescription medication benefits, deductibles, co-payments, and authorizations to ensure pharmacy coverage.
  • Interact directly with healthcare providers: You’ll coordinate and research benefits coverage with Insurance providers, doctors’ office and health care providers.
  • Help us keep track of patient interactions: While managing a high outbound call volume, you'll use your expert listening and data entry skills to understand patient and provider requests and accurately document all interactions.
  • NOTE: You will be required to have reliable internet connectivity provided through a wired (Ethernet) connection. A mobile or hot spot environment is not acceptable and you may need to purchase an Ethernet cord depending on your current set up.

Key Requirements and Technology Experience: 

  • Pharmacy insurance, communication, documentation.
  • 2 years Health Care experience with knowledge of medical/pharmacy insurance & terminology is preferred.
  • Tech savvy - Strong computer & data entry skills, including all Microsoft products.
  • High speed internet with wired ethernet connection.
  • Private & quiet work space.
  • Excellent communication skills (verbal & written)
  • High School Diploma required, Associates Degree preferred.

Our client is a leading Insurance 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. 
 
Pyramid Consulting, Inc. provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.


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Client : Pyramid Consulting, Inc