Enrollment Representative, Benefits Investigation

1 week ago


Altamonte Springs, United States Elevance Health Full time

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.

Position Title: Enrollment Representative - Benefit Investigation

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

Available Shift : 11 AM - 8 PM EST

Hours may be subject to change based on seniority to 8am - 5pm, 9am - 6pm, 10am - 7pm, or 1pm-10pm.

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:

  • 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.

Minimum Requirements

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.

Preferred Skills, Capabilities and Experiences

  • 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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