Care Manager - Patient Call Center (Remote)

Lifelancer
Moab, UT
Category Data Analyst
Job Description
Care Managers are responsible for contacting insurance companies to obtain correct eligibility information, perform benefit investigations, copay assistance, and check prior authorization and/or appeal status. This is a remote position with a private workspace required for HIPAA compliance.

Requirements

  • 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

Benefits

  • Generous Paid Time Off
  • 401k Matching
  • Retirement Plan
  • Generous Parental Leave
  • Tuition Reimbursement
  • Relocation Assistance
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