Christina James
Senior Eligibility Representative at Accredo Health- Claim this Profile
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Bio
Experience
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Accredo Health
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Pharmaceutical Manufacturing
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1 - 100 Employee
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Senior Eligibility Representative
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Aug 2019 - Present
Started in Ship Clearance verifying orders that stopped from shipping out, this could be from change of insurance plan, new prior authorization needed, or exceeding high co-payment issues. I then moved over to escalation department to verify insurance benefits and figure out why issues with orders that were processed incorrectly. Started in Ship Clearance verifying orders that stopped from shipping out, this could be from change of insurance plan, new prior authorization needed, or exceeding high co-payment issues. I then moved over to escalation department to verify insurance benefits and figure out why issues with orders that were processed incorrectly.
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Claims Processor Senior Associate
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Jun 2015 - Aug 2019
Review faxed in prescriptions from providers from start to setting up delivery of medications to members and providers offices for Inflammatory, Core, Oncology and Case Management medications. Review faxed in prescriptions from providers from start to setting up delivery of medications to members and providers offices for Inflammatory, Core, Oncology and Case Management medications.
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RemX | The Workforce Experts
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United States
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Staffing and Recruiting
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400 - 500 Employee
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Insurance Processor
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Apr 2015 - May 2015
learned how to process claims to pay for co-pay assistance for patients. learned how to process claims to pay for co-pay assistance for patients.
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Customer Service Associate
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Dec 2014 - Apr 2015
Take phone calls from members and Providers to process medications that are not on patient’s formulary. Take phone calls from members and Providers to process medications that are not on patient’s formulary.
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Cigna Insurance Services
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United Kingdom
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Insurance
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500 - 600 Employee
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Senior Pharmacy Service Associate
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Mar 2004 - Dec 2014
Review faxed in prior authorization requests from providers for medications that are not on formulary and also taking phone calls from patients and providers, helping with overrides of refill too soon, answering questions and taking verbal prior authorizations from providers. Review faxed in prior authorization requests from providers for medications that are not on formulary and also taking phone calls from patients and providers, helping with overrides of refill too soon, answering questions and taking verbal prior authorizations from providers.
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Cigna
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United States
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Wellness and Fitness Services
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700 & Above Employee
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Pharmacy Technician
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Oct 1994 - Mar 2004
working at different pharmacies to answer phones, input new prescriptions, input refills, updates refills and takes care of the patients that come into those pharmacies working at different pharmacies to answer phones, input new prescriptions, input refills, updates refills and takes care of the patients that come into those pharmacies
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Education
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Glendale Community College
Heathcare Technology Systems, Heathcare Technology Systems -
Paradise Valley Community College
Healthcare Technology Systems, Informatics