Sr/Care Manager, Patient Support Services Remote

IQVIA • Northborough, MA

104d • $22 • Remote

About The Position

As the only global provider of commercial solutions, IQVIA understands what it takes to deliver nationally and internationally. Our teams help biopharma get their medicines to the people who need them. We help customers gain insight and access to their markets and ultimately demonstrate their product's value to payers, physicians and patients. A significant part of our business is acting as the biopharma's sales force to physicians or providing nurses to educate patients or prescribers. With the right experience, you can help deliver medical breakthroughs in the real world. Position Summary: AllCare Plus Pharmacy, an IQVIA company, is seeking a Care Manager! Responsibilities will vary by program and its lifecycle. Care Manager's may be responsible for contacting insurance companies to obtain correct eligibility information, perform benefit investigations, copay assistance and check prior authorization and/or appeal status. Care Managers may also be responsible for directly contacting patients and/or providers to evaluate eligibility for assistance programs and/or varied adherence support. This is a remote position. Hours: Must be available for an 8 hour shift between 8am-8pm EST. Salary: $22/hr.

Requirements

• To be eligible for this position, you must reside in the same country where the job is located
• High School Diploma or equivalent, some college preferred
• 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

Nice To Haves

• Previous experience in Patient Support Services (Hub)
• Previous Customer Service experience in the healthcare field
• Bilingual

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 per hour
• Incentive plans, bonuses, and/or other forms of compensation may be offered
• Range of health and welfare and/or other benefits

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Industry: Professional, Scientific, and Technical Services
• Education Level: High school or GED