Care Manager – Patient Support, Call Center

This is a fully remote position, open to applicants in Arizona, +3 more states.

📋 Description

• Conduct outbound calls to gather relevant information and document it accurately.

• Responsible for handling inbound calls and assisting customers with pharmacy-related services.

• Maintain a high level of professionalism across all communication channels while delivering efficient, courteous, and friendly service.

• Liaise with insurance companies to investigate benefits and determine coverage eligibility.

• Provide support for prior authorizations and appeals.

• Assist patients with the enrollment process for copay assistance programs offered by manufacturers and non-profit organizations.

• Enhance job knowledge by engaging in educational opportunities and training activities.

• Work effectively both independently and as part of a team to achieve necessary tasks.

• Uphold and enhance quality results by adhering to standards and guidelines in line with program KPIs.

• Report Adverse Drug Events (ADEs) in accordance with program policies and guidelines.

• Comply with all HIPAA regulations.

• May assist in the onboarding process for new employees.

⛳️ Requirements

• High School Diploma or equivalent qualification.

• At least one year of experience in medical billing, reimbursement, insurance verification, or similar medical office roles.

• Prior data entry experience (minimum of three months) with the ability to type at least 30 words per minute.

• Demonstrated strong attention to detail in all tasks.

• Must be computer literate, capable of navigating multiple applications, tabs, and monitors.

• Advanced proficiency in all Microsoft Suite programs (Teams, Word, Excel, Outlook, etc.) and soft phone systems (WebEx, Mitel, Shoretel, etc.).

• Excellent communication skills, both written and verbal.

• Ability to collaborate effectively in a virtual team environment by being responsive and available during working hours.

• Strong follow-through capabilities.

🏝️ Benefits

• Health insurance.

• 401(k) matching.

• Paid time off.

• Flexible work arrangements.

• Professional development opportunities.