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UBC - Sr. Eligibility Associate
Job ID: REQ20004340
The Sr. Eligibility Associate is responsible for the
accurate and timely input of all manual, and phoned-in eligibility requests
from clients to enable members maximize use of their prescription benefit
program. This position documents and track requests and contacts clients for
clarification of requests. In addition, this position serves as liaison to
clients and other departments.
* Process eligibility requests according to
departmental procedures. Quality check hardcopy and audit phone requests to
ensure accuracy and exceptional customer service and forward to supervisors as
needed for review.
* Provide expert assistance to team members
with issues needing technical expertise. Serve as a point of escalation for
issues requiring a higher degree of expertise or discretion to resolve and
ensure timely resolution.
* Provide on-the-job training for new or
existing team members. Mentor team to improve their understanding and skills.
Ensure team members are familiar with resource materials including manuals and
* Work with Supervisor on a strategic level
defining quality assurance vision and processes. Assist with work distribution,
expedition, and the development of work plans for team members. Recommend
process improvements and identify repetitive problems.
* Answer, resolve and document client phone
calls requesting eligibility updates and/or eligibility related issues. Contact
client for clarification of hard copy requests. Consult with client to
determine mutually beneficial solutions of eligibility issues.
* Support cross-functional departments in
resolution of eligibility issues (e.g. claims, call center, account management,
participant materials, mail service).
* Complete other projects and additional duties
* High school diploma or equivalent
* 2-3 years experience in customer service
* General PC knowledge including Microsoft
Office, Internet, and email; Technical expertise of ESI systems and processes
* Knowledge of ESI products and services
helpful; Experience training and coaching less experienced staff patience to
explain details and processes repeatedly; Excellent communication skills;
Ability to adapt in a dynamic work environment and make decisions with minimal
supervision; Advanced problem solving skills and the ability to work
collaboratively with other departments to resolve complex issues with
ABOUT EXPRESS SCRIPTS
Advance your career with the company that makes it easier for people to choose better health.
Express Scripts is a leading healthcare company serving tens of millions of consumers. We are looking for individuals who are passionate, creative and committed to creating systems and service solutions that promote better health outcomes.
Join the company that Fortune magazine ranked as one of the 'Most Admired Companies' in the pharmacy category. Then, use your intelligence, creativity, integrity and hard work to help us enhance our products and services.
We offer a highly competitive base salary and a comprehensive benefits program, including medical, prescription drug, dental, vision, 401(k) with company match, life insurance, paid time off, tuition assistance and an employee stock purchase plan.
Express Scripts is committed to hiring and retaining a diverse workforce. We are an Equal Opportunity Employer, making decisions without regard to race, color, religion, sex, national origin, age, veteran status, disability, or any other protected class. Applicants must be able to pass a drug test and background investigation.
Express Scripts is a VEVRAA Federal Contractor.
United BioSource Corporation (UBC) is the leading provider of integrated development and commercial support solutions that deliver evidence of safe use, while optimizing access to mediation and care.
UBC leverages our specialty pharmacy therapy expertise and contracts for specialty pharmacy and specialty distribution services.
UBC's services include reimbursement, patient assistance and alternate funding programs, channel optimization through specialty pharmacy, specialty distribution and 3PL services, Customized clinical adherence and commercialization strategies powered by Express Scripts data.
Express Scripts is an EOE
Express Scripts is an Equal Employment Opportunity employer and does not discriminate in employment opportunities or practices on the basis of race, creed, color, religion, sex, national origin, nationality, ancestry, age, disability or status as a disabled veteran or veteran of the Vietnam era, pregnancy, affectional or sexual orientation, gender identity or expression, marital status, status with regard to public assistance, veteran status, citizenship or membership in any other legally protected class. None of the questions in this application are intended to elicit information regarding any protected characteristics, nor imply any limitation, illegal preferences or discrimination based upon non-job-related information or protected characteristics.Applicants must be able to pass a drug test and background investigation and, depending on position requirements, a Department of Defense background investigation. AA/EOE.