Care Manager – Patient Call Center
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Job Description
Care Manager handling patient calls for pharmacy services within IQVIA. Responsible for insurance eligibility, copay assistance, and appeals support.
Responsibilities:
- Perform outbound calls to obtain appropriate information and document accurately
- Responsible for answering in-bound calls and assisting customers with pharmacy related services
- Maintain strict professionalism in all communication methods while providing efficient, courteous, and friendly service
- Contact insurance companies for benefit investigation and coverage eligibility
- Provide prior authorizations and appeals support
- Assist patients with the enrollment process for manufacturer and non-profit organization copay assistance programs
- Update job knowledge by participating in educational opportunities and training activities
- Work efficiently both individually and within a team to accomplish required tasks
- Maintain and improve quality results by adhering to standards and guidelines by meeting quality standards set forth by program KPI’s
- Report ADE’s according to program policy and guidelines
- Adhere to all HIPAA guidelines
- May assist with onboarding new employees
Requirements:
- High School Diploma or equivalent
- Minimum one year experience in medical billing, reimbursement, insurance verification, or similar related medical office experience
- Previous data entry experience (minimum three months) and ability to type 30wpm+
- Must be computer savvy, to include navigating multiple computer tabs, monitors, and applications
- Advanced ability/knowledge of all Microsoft Suite programs (Teams, Word, Excel, Outlook, etc.) and soft phone systems (WebEx, Mitel, Shoretel, etc.)
- Exceptional communication skills, both written and verbal
- Able to work in a virtual team environment by being available and responsive during working hours
- Excellent follow through
Benefits:
- Health insurance
- Flexible work arrangements
- Professional development opportunities
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