Care Manager – Patient Support Call Center -Remote

Lifelancer
Las Vegas, NV
Category Customer Service
Remote
Job Description
The Care Manager will contact insurance companies to obtain correct eligibility information, perform benefit investigations, and provide prior authorizations and appeals support. The role will 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
  • 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
  • May assist with onboarding new employees
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