Remote Care Manager: Benefits & Eligibility Support

IQVIA; Salem (OR); Remote; USD 30,000 - 32,000; Full time

Job summary

IQVIA is seeking a Care Manager for a remote role. Responsibilities include contacting insurers for eligibility, assisting with benefit investigations, copay support, and prior authorizations. Duties may involve patient/provider outreach and adherence programs.

Qualified candidates will have at least a high school diploma, 1+ year in medical billing or insurance verification, strong typing, and excellent communication. The position offers remote work with HIPAA compliance.

Qualifications

• High School Diploma or equivalent required.
• Minimum one year in medical billing, reimbursement, insurance verification, or related medical office experience.
• Data entry experience with 30 wpm+ typing.
• Strong attention to detail and HIPAA compliance in a remote setting.
• Proficiency with Microsoft Office and soft phone systems.

Responsibilities

• Perform outbound calls to obtain information and document accurately.
• Answer inbound calls and assist customers with pharmacy-related services.
• Maintain professionalism and provide courteous service.
• Contact insurance for benefit investigation and coverage eligibility.
• Provide prior authorizations and appeals support.
• Assist patients with enrollment in copay assistance programs.
• Update knowledge through training and work both independently and in a team.
• Adhere to KPI standards and HIPAA guidelines.
• May assist onboarding new employees.

Skills

Exceptional communication

Attention to detail

Microsoft Office Suite

Remote work experience

Bilingual Spanish-English

Education

High School Diploma or equivalent

Some College

Tools

Microsoft Teams

WebEx

Mitel

Shoretel

Excel

Outlook

Word

Job description

IQVIA is seeking a Care Manager for a remote role. Responsibilities include contacting insurers for eligibility, assisting with benefit investigations, copay support, and prior authorizations. Duties may involve patient/provider outreach and adherence programs.

Qualified candidates will have at least a high school diploma, 1+ year in medical billing or insurance verification, strong typing, and excellent communication. The position offers remote work with HIPAA compliance.