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.
Requirements
- Perform outbound calls to obtain appropriate information and document accurately.
- Responsible for answering in-bound calls and assisting customers with pharmacy-related services.
- 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.
