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The Enrollment Representative is responsible for verifying insurance benefits and preparing documentation in line with the company's brand promise. The role requires proficiency in Pharmacy Benefit and Major Medical Insurance, understanding of health insurance structures, and excellent customer service skills. Responsibilities include adjudicating claims, updating teams, and ensuring compliance with company procedures.

The Coverage Determination Representative is responsible for gathering and submitting authorization forms to insurance companies, tracking prior authorizations, reviewing prescriptions, and documenting outcomes. This role involves communication with prescriber offices and updating sales staff on important information.