Care Manager – Patient Support Call Center Remote
Phoenix, NM - USA
Job Summary
**This is posted in anticipation of a future role**
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.
The information contained herein is intended to be an accurate reflection of the duties and responsibilities of the individuals assigned to this position. They are 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.
Care Manager
As the only global provider of commercial solutions IQVIA understands what it takes to deliver nationally and internationally. Our teams help biopharma gettheir medicinestothe people who need them. We help customers gain insight and access to their markets andultimately demonstratetheirproductsvalue to payersphysiciansand patients. A significant part of our business is acting as thebiopharmassales forcetophysicians or providing nurses to educate patients or prescribers. With the right experience you can help deliver medical breakthroughs in the real world.
Position Summary:
Responsibilities will vary by program and its lifecycle. Care Managers maybe responsible forcontacting insurance companies to obtain correct eligibility information perform benefit investigations copayassistanceand check prior authorization and/or appeal status. Care Managers may alsobe responsible fordirectly contacting patients and/or providers to evaluate eligibility forassistanceprograms and/or variedadherencesupport. This is aremoteposition.
Job Responsibilities:
Perform outbound calls to obtainappropriate informationanddocumentaccurately.
Responsible for answering in-bound calls andassistingcustomers withpharmacy relatedservices.
Maintain strict professionalism in all communication methods while providing efficient courteous and friendly service.
Contact insurance companies for benefit investigation and coverage eligibility.
Provide prior authorizations and appeals support.
Assistpatients with the enrollment process for manufacturer and non-profitorganizationcopayassistanceprograms.
Update job knowledge byparticipatingin educational opportunities and training activities. Work efficiently both individually and within a team toaccomplishrequired tasks.
Maintain and improve quality results by adhering to standards and guidelines by meeting quality standards set forth by program KPIs.
Report ADEs according to program policy and guidelinesAdhereto all HIPAA guidelines Mayassistwith onboarding new employees.
Schedule:
Must be available for an8 hourshift between 8am-8pm EST
RequiredQualifications:
High School Diploma or equivalent
Minimum oneyearexperience in medical billing reimbursement insurance verification or similar related medical office experience.
Previousdata entry experience (minimum three months) and ability to type 30wpm.
Able todemonstratehigh attention to detail in work.
Mustbe computer savvyto includenavigating multiple computer tabsmonitorsand applications.
Advanced ability/knowledge of all Microsoft Suite programs (Teams Word Excel Outlooketc.) and soft phone systems (WebEx MitelShoretel etc.).
Exceptional communication skills both written and verbal.
Able to work in a virtual team environment by being available and responsive during working hours.
Excellent follow through This is a remote position.
Employees must have a private workspace free of distraction to adhere to HIPAA compliance/guidelines.
Workspace must include internet plug-in accessibility. Wi-fi connectivity is notpermitted.
Mustresidein country wherethe jobis posted.
Preferred Qualifications:
Some College.
Bilingual Spanish - English
Previousexperience in Patient Support Services (Hub).
PreviousCustomer Service experience in the healthcare field.
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IQVIA is a leading global provider of clinical research services commercial insights and healthcare intelligence to the life sciences and healthcare industries. We create intelligent connections to accelerate the development and commercialization of innovative medical treatments to help improve patient outcomes and population health worldwide. Learn more at
IQVIA is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race color religion sex sexual orientation gender identity national origin disability status as a protected veteran or any other status protected by applicable law. is committed to integrity in our hiring process and maintains a zero tolerance policy for candidate fraud. All information and credentials submitted in your application must be truthful and complete. Any false statements misrepresentations or material omissions during the recruitment process will result in immediate disqualification of your application or termination of employment if discovered later in accordance with applicable law. We appreciate your honesty and professionalism.
The potential base pay range for this role is $22.00 - $23.00 per hour. The actual base pay offered may vary based on a number of factors including job-related qualifications such as knowledge skills education and experience; location; and/or schedule (full or part-time). Dependent on the position offered incentive plans bonuses and/or other forms of compensation may be offered in addition to a range of health and welfare and/or other benefits.Required Experience:
Manager
About Company
IQVIA is the Human Data Science Company™. We are inspired by the industry we serve and provide solutions that enable life sciences companies to innovate with confidence, maximize opportunities and ultimately drive human health outcomes forward. Our approach is Human Data Science – a d ... View more