Eligibility Senior Representative - Accredo - Remote

The Reauthorization Senior Eligibility Representative plays an important role in helping patients maintain access to advanced therapy services. This role supports timely reauthorization renewals by reviewing payer requirements, gathering needed documentation, and partnering with provider offices, payers, and internal teams to help prevent therapy interruptions. The ideal candidate is detail-oriented, collaborative, and comfortable using their experience to resolve complex authorization and coverage barriers with professionalism and care. Responsibilities Facilitate timely processing of reauthorization renewals to support continuity of care for patients receiving advanced therapy services. Review authorization requirements, clinical documentation, coverage criteria, and renewal deadlines to support payer compliance and accurate submissions. Partner with provider offices to obtain required clinical documentation and help ensure renewal requests are submitted on time. Coordinate with payers, provider offices, and internal stakeholders to support successful authorization renewals and continued reimbursement. Identify at-risk reauthorizations and proactively work with internal and external partners to help prevent therapy interruptions. Research and resolve coverage, benefit, authorization, and documentation barriers that may impact reauthorization turnaround times. Provide clear updates and guidance to internal and external clients regarding reauthorization renewal status, requirements, and next steps. Use sound judgment to manage complex patient access concerns, authorization issues, and escalations, involving leadership when appropriate. Support process improvement efforts, special projects, and other responsibilities as assigned. Required Qualifications High school diploma or GED required. At least 3 years of relevant experience in healthcare, insurance, revenue cycle management, pharmacy operations, patient access, or a related field. Working knowledge of medical in