Remote Care Manager: Insurance & Benefits Specialist

IQVIA; Oregon; Hybrid; USD 30,000 - 32,000; Full time

Job summary

IQVIA is seeking a Care Manager for a remote role in the United States. You will contact insurance companies to verify eligibility, perform benefit investigations, assist with copays, and check prior authorization and appeals status.

The role supports patients and providers, requires strong communication, data entry, and HIPAA compliance. A high school diploma and 1 year in medical billing or related field are required.

Qualifications

• Minimum one year experience in medical billing, reimbursement, insurance verification, or similar medical office work.
• Data entry experience and ability to type 30 wpm+.
• High attention to detail and strong computer skills across multiple applications.
• Proficient with Microsoft Office and able to navigate various phone systems.

Responsibilities

• Perform outbound calls to obtain accurate information and document it correctly.
• Handle inbound calls and assist customers with pharmacy-related services.
• Maintain professional, efficient, and courteous communication.
• Contact insurance companies for benefit investigations and coverage eligibility.
• Provide prior authorizations and appeals support.
• Assist patients with enrollment in manufacturer and nonprofit copay programs.
• Update knowledge through training and work effectively both independently and in a team.
• Maintain quality results by adhering to program KPI standards and HIPAA guidelines.

Skills

Medical billing experience

Data entry

Attention to detail

Typing 30 wpm or more

Microsoft Office Suite proficiency

Strong communication skills

Ability to work remotely

Education

High School Diploma or equivalent

Tools

Microsoft Office Suite

WebEx

Mitel

Shoretel

Job description

IQVIA is seeking a Care Manager for a remote role in the United States. You will contact insurance companies to verify eligibility, perform benefit investigations, assist with copays, and check prior authorization and appeals status.

The role supports patients and providers, requires strong communication, data entry, and HIPAA compliance. A high school diploma and 1 year in medical billing or related field are required.