- Develops and maintains positive customer relations and coordinates with functions within the company to ensure customer requests are handled and resolved appropriate and in a timely manner.
- Interacts with internal and external customers (could include subscribers, providers, group or benefit administrators, physician offices, third party representatives, and other Blue Cross Plans) to provide claims, customer service, and/or membership support.
- Completes necessary research to provide proactive, thorough solutions.
- Displays ownership of service requests ensuring high quality resolution and follow-thru.
- Supports and guides the customer with their personal options and decisions and helps the customer become knowledgeable and confident about using technology, tools and resources available to them.
- Requires a HS diploma and a minimum of 18 months of experience in customer service and/or health insurance industry; or any combination of education and experience which would provide an equivalent background.
- Specialty pharmacy experience highly preferred.
- Certified or Registered Pharmacy Technician preferred.
- Medicare Part B experience highly preferred.
- Basic knowledge of medical terminology preferred.
- Benefits investigation experience preferred.
- Experience working with a variety of therapy types preferred.
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Enrollment Representative, Benefits Investigation - Altamonte Springs, United States - Elevance Health
Description
Anticipated End Date:Position Title:
Enrollment Representative, Benefits Investigation - BioPlus Specialty Pharmacy
Job Description:
Be Part of an Extraordinary Team
BioPlus Specialty Pharmacy is now part of CarelonRx (formerly IngenioRx), and a proud member of the Elevance Health family of companies. Together, CarelonRx and BioPlus offer consumers and providers an unparalleled level of service that's easy and focused on whole health. Through our distinct clinical expertise, digital capabilities, and broad access to specialty medications across a wide range of conditions, we deliver an elevated experience, affordability, and personalized support throughout the consumer's treatment journey.
Build the Possibilities. Make an Extraordinary Impact.
Location: Candidates must reside within 50 miles or 1-hour commute each way from 370 Northlake Blvd. Altamonte Springs, FL 32701
Schedule: Monday-Friday ONSITE
Initial Shift: 11 AM - 8 PM,12 PM - 9 PM, or 1 PM-10 PM EST.
Hours may be subject to change based on seniority, to 10 AM - 7 PM, 9 AM - 6 PM, and 8 AM - 5 PM.
Candidates must reside within 50 miles or 1-hour commute each way of 370 Northlake Blvd. Altamonte Springs, FL 32701
The Enrollment Representative - Benefit Investigation is responsible for responding to basic customer questions via telephone and written correspondence regarding pharmacy retail and mail order prescriptions.
How you will make an impact:
Primary duties may include, but are not limited to:
Non-Management Non-Exempt
Workshift:
2nd Shift (United States of America)
Job Family:
CUS > Care Reps
Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.
Who We Are
Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
How We Work
At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.
We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.
Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location.
The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.
Elevance Health is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact for assistance.
