Care Manager – Patient Call Center - Home-based

Lifelancer
Cheyenne, WY
Category Customer Service
Job Description
The Care Manager – Patient Call Center - Home-based role involves contacting insurance companies, performing benefit investigations, and assisting patients with enrollment processes. The position requires high attention to detail, excellent communication skills, and the ability to work in a virtual team environment.

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 Adhere to all HIPAA guidelines
  • May assist with onboarding new employees
  • Schedule: Must be available for an 8 hour shift between 8am-8pm EST

Benefits

  • Life insurance
  • Disability insurance
  • 401(k) plan
  • Health insurance
  • Dental insurance
  • Vision insurance
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