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.
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.
By applying to our jobs you agree to receive calls, AI-generated calls, text messages, or emails from Pyramid Consulting, Inc. and its affiliates, and contracted partners. Frequency varies for text messages. Message and data rates may apply. Carriers are not liable for delayed or undelivered messages. You can reply STOP to cancel and HELP for help. You can access our privacy policy .
#prof