Care Manager – Patient Support Call Center - Work from Home

Lifelancer
Santa Fe, NM
Category Customer Service
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. The role involves direct communication with patients and/or providers to evaluate eligibility for assistance programs and 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.
  • Maintain and improve quality results by adhering to standards and guidelines by meeting quality standards set forth by program KPI's.
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