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Eligibility Representative
7 days ago
Orlando, Florida, US

Job Description

Position Details:

Industry:              Managed Health Care

Job title:              Eligibility Representative

Location:             Orlando, FL 32809

Duration:             07 Months +


  • As an Eligibility Representative, Patient Access, Accredo, you'll be part of a dedicated team which helps our speciality pharmacy patients coordinate their medication needs and pharmacy insurance coverage for complex medical conditions such as HIV, rheumatoid arthritis and cancer.
  • This role is on the front lines with patients and doctors offices, responding to phone inquiries and addressing each with care, detail, and most importantly, empathy. 
  • Help patients get the medication they need.
  • Use the knowledge you gain from training, your problem-solving skills and support from your team to answer patient calls effectively.
  • You'll coordinate and ensure services are covered under insurance coverage and talk 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 be busy handling multiple requests at any given time as well as documenting information from your conversations in our computer system.



  • High School Diploma / GED required a bachelor's degree is preferred.
  • Customer Service experience
  • Health care experience with knowledge of medical insurance and terminology is preferred and will make you successful in this role!
  • General PC knowledge including experience working with MS Office
  • Excellent communication skills (verbal and written)

Skills and Experience:

  • Required Skills:
  • Reporting Tools

Additional Skills:

  • Business Services
  • Process Improvement
  • Technical Support

Job Requirements

Access, Reporting, research, Training, Empathy, Communication, WAN, Business, Microsoft Office


Job Code: 50114754

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