Care Manager – Patient Support Call Center - Work from Home

Lifelancer
Houston, TX
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. They will also directly contact 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.
  • 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.
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