Care Manager – Patient Call Center - Home-based

IQVIA • Cheyenne, WY

21h • Remote

About The Position

This is a remote position where Care Managers are responsible for contacting insurance companies to obtain correct eligibility information, perform benefit investigations, copay assistance, and check prior authorization and/or appeal status. Responsibilities may vary by program and its lifecycle. Care Managers may also be responsible for directly contacting patients and/or providers to evaluate eligibility for assistance programs and/or varied adherence support. IQVIA is a leading global provider of clinical research services, commercial insights and healthcare intelligence to the life sciences and healthcare industries. We create intelligent connections to accelerate the development and commercialization of innovative medical treatments to help improve patient outcomes and population health worldwide.

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+.
• Able to demonstrate high attention to detail in work.
• 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
• Must have a private workspace free of distraction to adhere to HIPAA compliance/guidelines.
• Workspace must include internet plug-in accessibility. Wi-fi connectivity is not permitted.
• Must reside in country where the job is posted.

Nice To Haves

• Some College.
• Bilingual Spanish - English
• Previous experience in Patient Support Services (Hub).
• Previous Customer Service experience in the healthcare field.

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.

Benefits

• The potential base pay range for this role is $22.00 - $23.00 per hour.
• Dependent on the position offered, incentive plans, bonuses, and/or other forms of compensation may be offered, in addition to a range of health and welfare and/or other benefits.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED