Senior Eligibility Representative Accredo

Job Description

Have you heard? Express Scripts and Accredo Specialty Pharmacy are now part of Cigna. Together, we've got big plans. We want to change health care to make it more affordable, more personalized, and more focused on helping the whole person to achieve better health outcomes. And that's only the beginning.

As an Eligibility Senior Representative - Accredo, you'll be part of a dedicated team which assists our specialty pharmacy patients coordinate their medication needs and pharmacy insurance coverage for complex medical conditions such as HIV, rheumatoid arthritis and cancer, to name a few. This requires an advanced understanding of medical insurance benefits and is on the front lines with patients and doctors offices, responding to phone inquiries and addressing each with care, detail, and most importantly, empathy.

Here's a little more on how you'll make a difference:

Help patients get the medication they need. Use your advanced knowledge of benefits verification, your problem-solving skills with the support from your team to resolve patient calls effectively. You'll coordinate and ensure services provided will be reimbursable by talking 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 handle multiple requests while accurately documenting information from your conversations in our computer system. By using discretion & independent judgement you will successfully handle complex customer concerns and escalations.

What You Should Have:

- High School Diploma / GED required, a bachelor's degree is preferred.
- 3-5 years of relevant experience
- Health care experience with knowledge of medical insurance, terminology and Patient Access is preferred
- Intermediate PC knowledge including experience with Microsoft Office
- Excellent phone presentation and communication skills.
- Advanced problem solving skills and the ability to work collaboratively with other departments to resolve issues with innovative solutions.
- Demonstrated ability to handle challenging customers in a professional, patient and empathetic manner.

What you will love about working here:

- Fun, friendly, and unique culture - Bring your whole self to work every day!
- 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 Cigna

Cigna Corporation (NYSE: CI) is a global health service company dedicated to improving the health, well-being and peace of mind of those we serve. We offer an integrated suite of health services through Cigna, Express Scripts, and our affiliates including medical, dental, behavioral health, pharmacy, vision, supplemental benefits, and other related products. Together, with our 74,000 employees worldwide, we aspire to transform health services, making them more affordable and accessible to millions. Through our unmatched expertise, bold action, fresh ideas and an unwavering commitment to patient-centered care, we are a force of health services innovation.

When you work with Cigna, you'll enjoy meaningful career experiences that enrich people's lives while working together to make the world a healthier place. What difference will you make? To see our culture in action, search #TeamCigna on Instagram.

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.

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