Care Manager – Patient Call Center - Home-based

Lifelancer
Santa Fe, NM
Category Healthcare
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. They may also be responsible for directly contacting patients and/or providers to evaluate eligibility for assistance programs and/or varied adherence support.

Requirements

  • Perform outbound calls to obtain appropriate information and document accurately.
  • 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

  • 401k Matching
  • Retirement Plan
  • Generous Paid Time Off
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