Care Manager – Patient Support Call Center - Work from Home

Lifelancer
Las Vegas, NV
Category Customer Service
Job Description
Care Managers are responsible for contacting insurance companies to obtain correct eligibility information, performing benefit investigations, copay assistance, and checking prior authorization and/or appeal status. The role may also involve 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
  • 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

Benefits

  • Base pay range: $22.00 - $23.00 per hour
  • Dependent on the position offered, incentive plans, bonuses, and/or other forms of compensation may be offered, in addition to a range of health and welfare and/or other benefits
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