Care Manager – Patient Support Call Center -Remote

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 position involves direct contact with patients and/or providers to evaluate eligibility for assistance programs and/or varied adherence support.

Requirements

• Perform outbound calls to obtain appropriate information and document accurately.
• 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.
• Assist patients with the enrollment process for manufacturer and non-profit organization copay assistance programs.
• Update job knowledge by participating in educational opportunities and training activities.
• Maintain and improve quality results by adhering to standards and guidelines by meeting quality standards set forth by program KPI’s.
• Report ADE’s according to program policy and guidelines

Benefits

• 401k Matching
• Retirement Plan
• Health and welfare benefits