Remote Care Manager: Insurance & Benefits Specialist

IQVIA; Idaho Falls (ID); Remote; USD 37,000 - 94,000; Full time

Job summary

IQVIA is seeking a remote Care Manager for a contract position, with the potential to convert to a full-time IQVIA role. Responsibilities include insurance eligibility checks, benefit investigations, copay assistance, and prior authorization support.

The role requires strong communication, precision in data entry, and HIPAA compliance, with the ability to work in a virtual team and manage multiple tasks efficiently.

Qualifications

• High School Diploma or equivalent.
• Minimum one year experience in medical billing, reimbursement, insurance verification, or similar medical office experience.
• Ability to type 30 wpm+ and maintain accuracy.
• Demonstrate high attention to detail and computer savvy skills.
• Proficient with Microsoft Office and HIPAA guidelines.

Responsibilities

• Perform outbound calls to obtain accurate information and document accordingly.
• Answer inbound calls and assist customers with pharmacy related services.
• Maintain professionalism in all communications while delivering efficient service.
• Contact insurance companies for benefit investigation and coverage eligibility.
• Provide prior authorizations and appeals support.
• Assist patients with enrollment for manufacturer and non-profit copay assistance programs.
• Stay updated through training and work effectively both individually and in a team.
• Adhere to program KPIs and standards to improve quality results.
• Report ADEs per program policy and guidelines; may assist onboarding new employees.

Skills

Medical billing

Insurance verification

Data entry 30 wpm

Microsoft Excel

HIPAA compliance

Communication skills

Remote work

Education

High School Diploma

Tools

Microsoft Office

Softphone systems

WebEx

Job description

IQVIA is seeking a remote Care Manager for a contract position, with the potential to convert to a full-time IQVIA role. Responsibilities include insurance eligibility checks, benefit investigations, copay assistance, and prior authorization support.

The role requires strong communication, precision in data entry, and HIPAA compliance, with the ability to work in a virtual team and manage multiple tasks efficiently.