Care Manager – Patient Call Center - Home-based

Lifelancer
Billings, MT
Category Healthcare
Job Description
Care Managers are responsible for contacting insurance companies to obtain correct eligibility information, performing benefit investigations, copay assistance, and checking prior authorization and/or appeal status. They may also be responsible for directly contacting patients and/or providers to evaluate eligibility for assistance programs and/or variance support.

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.
  • 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 Adhereto all HIPAA guidelines May assist with onboarding new employees.

Benefits

  • Flexible work hours
  • Opportunity to be converted to a full-time employee
  • Health and welfare and/or other benefits
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