Care Manager – Patient Support Call Center - Work from Home

Lifelancer
Bozeman, MT
Category Customer Service
Job Description
Care Managers are responsible for contacting insurance companies, performing benefit investigations, copay assistance, and checking prior authorization and appeal status. They may also contact 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.
  • 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

Benefits

  • 401k Matching
  • Health and Welfare Benefits
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