Care Manager – Patient Call Center - Home-based

Lifelancer
Phoenix, AZ
Category Customer Service
Job Description
Care Managers are responsible for contacting insurance companies, performing benefit investigations, copay assistance, and checking prior authorization and/or appeal status. The role will involve direct patient and provider contact, eligibility assessments, and varied adherence support. The position will be home-based with a shift between 8am-8pm EST.

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
  • Adhere to all HIPAA guidelines
  • May assist with onboarding new employees

Benefits

  • Health and welfare benefits
  • Incentive plans
  • Bonuses
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