Care Manager – Patient Support Call Center

This is a fully remote position, open to applicants in Idaho, +4 more states.

📋 Description

• Reach out to insurance providers to gather accurate eligibility details

• Conduct benefit investigations and assist with copay support

• Verify prior authorization and/or appeal statuses

• Communicate with patients and/or healthcare providers to assess eligibility for support programs and adherence assistance

• Make outbound calls to collect necessary information and ensure accurate documentation

• Handle incoming calls and provide assistance to customers regarding pharmacy services

• Maintain a professional, efficient, courteous, and friendly manner in all communications

• Offer support for prior authorizations and appeals

• Aid patients in enrolling in both manufacturer and non-profit copay assistance programs

• Enhance job knowledge through educational initiatives and training sessions

• Work autonomously as well as collaboratively within a team to achieve objectives

• Ensure quality outcomes by following established standards, guidelines, and program KPIs

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

• Comply with 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 a related medical office role

• Prior data entry experience of a minimum of three months

• Capability to type at a speed of 30 words per minute or more

• Strong attention to detail

• Proficient with computers, including the ability to navigate multiple tabs, monitors, and applications

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

• Outstanding written and verbal communication abilities

• Capacity to work effectively in a virtual team setting and remain available and responsive during designated hours

• Excellent follow-through skills

• A private, distraction-free workspace to ensure adherence to HIPAA compliance/guidelines

• Workspace must have internet plug-in capability; Wi-Fi access is not allowed

• Must reside in the country where the position is advertised

🏝️ Benefits

• Possibility of transitioning to a full-time employee with IQVIA

• Access to educational opportunities and training programs

• Potential for incentive plans, bonuses, and/or other compensation options

• Health, welfare, and/or additional benefits