Sr/Care Manager – Patient Support Services
Company | IQVIA |
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Location | Raleigh, NC, USA, Chicago, IL, USA, Phoenix, AZ, USA, Westborough, MA, USA |
Salary | $22 – $22 |
Type | Full-Time |
Degrees | |
Experience Level | Junior |
Requirements
- 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
- Employees 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.
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
Preferred Qualifications
- Previous experience in Patient Support Services (Hub)
- Previous Customer Service experience in the healthcare field
- Bilingual