Job summary
Job post source
This job is directly from Accredo Specialty Pharmacy, a division of Evernorth Health Services under The Cigna Group.
Job overview
The Eligibility Representative role at Accredo Specialty Pharmacy involves verifying insurance benefits and coordinating medication coverage for specialty pharmacy patients, ensuring timely access to necessary treatments.
Responsibilities and impact
The job includes verifying medical and pharmacy benefits, resolving drug coverage issues, coordinating reimbursement services, reviewing insurance on shipment days, collaborating with internal teams, handling patient complaints with discretion, and completing assigned projects.
Compensation and benefits
The position offers an hourly wage of $17.75 to $25 depending on experience and location, eligibility for an annual bonus, comprehensive health benefits from day one including medical, dental, vision, 401(k) with company match, paid time off, life insurance, and tuition reimbursement.
Experience and skills
Candidates should have a high school diploma or GED (bachelor's preferred), 2-3 years relevant experience, preferably in healthcare or specialty pharmacy, knowledge of medical insurance terminology, proficiency in Microsoft Office, strong communication skills, adaptability, problem-solving abilities, and the capacity to work independently.
Work environment and culture
The company emphasizes health, balance, and security with a supportive benefits program and a tobacco-free policy, fostering an inclusive environment respecting diversity and equal opportunity.
Company information
Accredo Specialty Pharmacy is part of Evernorth Health Services, a division of The Cigna Group, focused on innovative pharmacy, care, and benefit solutions to improve health outcomes.
Job location and travel
This is a remote position requiring reliable high-speed internet, with training and work schedules based on Central Standard Time hours.
Application process
Applicants are encouraged to apply online and can request reasonable accommodations via email; updates or resumes should not be sent to the accommodation email.
Unique job features
The role offers remote work flexibility, a structured training schedule, and the opportunity to work within a leading health services company with a focus on specialty pharmacy and patient care.
Company overview
Accredo Specialty Pharmacy is a leading specialty pharmacy that focuses on providing medications and personalized care for patients with complex and chronic health conditions such as cancer, hepatitis, multiple sclerosis, and rare diseases. As a subsidiary of Evernorth, which is part of Cigna Corporation, Accredo operates by partnering with pharmaceutical manufacturers, insurance providers, and healthcare professionals to deliver high-touch pharmacy services and support programs. The company generates revenue through dispensing specialty medications, offering clinical support, and managing patient care coordination, often working with insurance reimbursement models. Founded in 1996 and acquired by Medco Health Solutions in 2005, then later becoming part of Express Scripts and ultimately Cigna, Accredo has a history of growth through strategic acquisitions and integration into larger healthcare organizations. Candidates should be aware of Accredo’s emphasis on patient-centric care, advanced therapy management, and its role within the broader Cigna/Evernorth healthcare ecosystem.
How to land this job
Position your resume to emphasize your experience with medical and pharmacy benefit verification, highlighting your ability to navigate insurance company portals and provider systems effectively.
Focus on showcasing your strong communication skills, problem-solving abilities, and your capacity to collaborate cross-functionally to resolve drug coverage and reimbursement issues promptly.
Apply to the Eligibility Representative role on multiple platforms including Accredo Specialty Pharmacy’s corporate career site and LinkedIn to maximize your chances of being noticed by recruiters.
Connect with current Accredo Specialty Pharmacy employees on LinkedIn, especially those in patient access or insurance verification roles; use ice breakers like commenting on recent company initiatives or asking about their experience with specialty pharmacy patient coordination.
Optimize your resume for ATS by including keywords such as 'medical/pharmacy benefit verification,' 'insurance review,' 'patient access,' 'drug coverage,' and 'cross-functional collaboration' to ensure your resume passes initial automated screenings.
Leverage Jennie Johnson’s Power Apply feature to automate tailored applications, identify multiple application portals, and find relevant LinkedIn contacts, allowing you to focus your time on preparing for interviews and networking effectively.
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