Remote Care Manager: Payer & Patient Support

IQVIA; Durham (NC); A distancia; USD 30.000 - 32.000; Jornada completa

Descripción de la vacante

IQVIA is seeking a Care Manager for a remote position based in the United States. You will contact insurance providers to verify eligibility, perform benefit investigations, assist with copay programs, and check prior authorizations and appeals status.

You may also contact patients/providers to assess eligibility for assistance and adherence support. Responsibilities include outbound/inbound calls, documenting information, and maintaining HIPAA compliance while delivering professional, courteous

Formación

• High School Diploma or equivalent.
• Minimum one year experience in medical billing, reimbursement, insurance verification, or similar related medical office experience.
• Typing speed of 30 wpm or higher.
• Strong attention to detail and computer savvy.
• Proficient with Microsoft Office Suite and soft phone systems (WebEx, Mitel, Shoretel).
• Excellent written and verbal communication skills.
• Able to work in a virtual team environment and be responsive during working hours.
• Remote position eligibility and a private distraction-free workspace.

Responsabilidades

• Perform outbound calls to obtain information and document accurately.
• Answer inbound calls and assist customers with pharmacy related services.
• Maintain professionalism and provide efficient, courteous service.
• Contact insurance companies for benefit investigation and coverage eligibility.
• Provide prior authorizations and appeals support.
• Assist patients with enrollment in copay assistance programs.
• Update knowledge through ongoing education and training.
• Work independently and in a team to accomplish tasks.
• Adhere to HIPAA guidelines and KPI-driven quality standards.
• May assist with onboarding new employees.
• Schedule: 8-hour shift between 8am-8pm EST.

Conocimientos

Attention to detail

Communication skills

Typing 30 wpm+

Multitasking

Educación

High School Diploma or equivalent

Herramientas

Microsoft Word

Excel

Outlook

Teams

WebEx

Mitel

Shoretel

Descripción del empleo

IQVIA is seeking a Care Manager for a remote position based in the United States. You will contact insurance providers to verify eligibility, perform benefit investigations, assist with copay programs, and check prior authorizations and appeals status.

You may also contact patients/providers to assess eligibility for assistance and adherence support. Responsibilities include outbound/inbound calls, documenting information, and maintaining HIPAA compliance while delivering professional, courteous