Eligibility 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-Friday

Key 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.
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