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Sr/Care Manager – Patient Support Services

Sr/Care Manager – Patient Support Services

CompanyIQVIA
LocationRaleigh, NC, USA, Chicago, IL, USA, Phoenix, AZ, USA, Westborough, MA, USA
Salary$22 – $22
TypeFull-Time
Degrees
Experience LevelJunior

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