Medical Billing / Insurance - Patient Support Call Center - Remote 11 : 30am - 8 : 00pm ET

IQVIA; Albuquerque (NM); Remote; USD 44,000 - 67,000; Full time

Job summary

IQVIA seeks a Care Manager to support patients through insurance verification and benefit investigations. This remote role requires strong communication and organizational skills, alongside a minimum of 2 years' experience in medical billing. Join a leading company in the life sciences industry to help create a healthier world.

Qualifications

• Minimum 2+ years’ experience in medical billing or similar patient services preferred.
• Ability to work cross-functionally and independently.
• Strong interpersonal and presentation skills.

Responsibilities

• Assist customers with pharmacy-related services and verify client information.
• Contact insurance companies for benefit investigation and eligibility.
• Complete prior authorizations with attention to detail.

Skills

Time Management

Communication Skills

Customer Support

Problem Solving

Bilingual (Spanish)

Education

High School Diploma

Associate Degree or Higher

Tools

MS Office

CRM Platforms

Job description

Care Manager (Medical Billing / Insurance - Patient Support)

MUST BE ABLE TO WORK THE 11:30am - 8:00pm ET SHIFT

Position Summary :

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. This is a remote position with an option to work in the Durham, NC office.

The information contained herein is intended to be an accurate reflection of the duties and responsibilities of the individuals assigned to this position. It is not intended to be an exhaustive list of the skills and abilities required to do the job. IQVIA reserves the right to revise the job or to require that other or different tasks be performed as assigned.

Primary Responsibilities :

• Answer inbound calls and assist customers with pharmacy-related services.
• Obtain client information by answering telephone calls, interviewing clients, and verifying information.
• Contact insurance companies for benefit investigation and coverage eligibility.
• Complete prior authorizations with attention to detail and accuracy, then have them reviewed by a clinical pharmacist.
• Assist patients with enrollment in manufacturer and non-profit organization copay assistance programs.
• Provide courteous, friendly, fast, and efficient service to customers.
• Participate in educational opportunities and training activities to update job knowledge.
• Work efficiently both individually and within a team to accomplish tasks.
• Maintain and improve quality results by adhering to standards and guidelines and recommending improved procedures.
• Perform any additional duties as assigned by program management.

Qualifications : Care Manager I

• High School diploma required; associate degree or higher preferred.
• Minimum 2+ years’ experience in medical billing, insurance verification, or similar patient services experience preferred.
• Strong time management, planning, and prioritization skills; ability to multi-task and meet deadlines.
• Effective presentation skills; ability to motivate others; excellent interpersonal (written and verbal) communication skills.
• Ability to work cross-functionally within a team and independently.
• Ability to build relationships with customers and third parties.
• Adaptability to a fast-paced, changing work environment.
• Proficiency in MS Office (Word, Excel, PowerPoint).
• Accurate documentation skills.
• Drive and enthusiasm for customer support.
• Excellent listening and problem-solving skills.
• Experience with CRM and integrated telephony platforms is a plus.
• Previous data entry experience; typing speed of 30+ WPM.
• Bilingual (Spanish) highly desirable.

LI-DNP

IQVIA is a leading global provider of analytics, technology solutions, and clinical research services to the life sciences industry. We aim to push the boundaries of human and data science to make a positive impact—helping our customers create a healthier world. Learn more at our website.

We are committed to providing equal employment opportunities to all, including veterans and candidates with disabilities.

IQVIA’s operations and services may require employees to meet specific COVID-19 vaccination requirements.

The potential base pay range for this role, when annualized, is $44,600.00 - $66,800.00. Actual offers depend on qualifications, location, schedule, and other factors. Incentives, bonuses, and benefits may also be included.