Christina James

Senior Eligibility Representative at Accredo Health
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Contact Information
us****@****om
(386) 825-5501
Location
Greater Phoenix Area, US

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Bio

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Experience

    • Pharmaceutical Manufacturing
    • 1 - 100 Employee
    • Senior Eligibility Representative
      • 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.

    • Claims Processor Senior Associate
      • 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.

    • United States
    • Staffing and Recruiting
    • 400 - 500 Employee
    • Insurance Processor
      • 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.

    • Customer Service Associate
      • 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.

    • United Kingdom
    • Insurance
    • 500 - 600 Employee
    • Senior Pharmacy Service Associate
      • 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.

    • United States
    • Wellness and Fitness Services
    • 700 & Above Employee
    • Pharmacy Technician
      • 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

Education

  • Glendale Community College
    Heathcare Technology Systems, Heathcare Technology Systems
    2018 - 2021
  • Paradise Valley Community College
    Healthcare Technology Systems, Informatics
    2018 - 2021

Community

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