Care Manager – Patient Support Call Center - Work from Home

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OtherCare Manager

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Quick Summary

Key Responsibilities

Responsibilities will vary by program and its lifecycle. Care Manager’s may be responsible for contacting insurance companies to obtain correct eligibility information, perform benefit investigations,

Requirements Summary

High School Diploma or equivalent Minimum one year experience in medical billing, reimbursement, insurance verification, or similar related medical office experience.

Technical Tools

OtherCare Manager

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.

This role will be a contract role with IQVIA managed by an external agency, with the opportunity to be converted to an IQVIA full-time employee.

As the only global provider of commercial solutions, IQVIA understands what it takes to deliver nationally and internationally. Our teams help biopharma get their medicines to the people who need them. We help customers gain insight and access to their markets and ultimately demonstrate their product’s value to payers, physicians and patients. A significant part of our business is acting as the biopharma’s sales force to physicians or providing nurses to educate patients or prescribers. With the right experience, you can help deliver medical breakthroughs in the real world.

Responsibilities

~1 min read

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Perform outbound calls to obtain appropriate information and document accurately.

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Responsible for answering in-bound calls and assisting customers with pharmacy related services.

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Maintain strict professionalism in all communication methods while providing efficient, courteous, and friendly service.

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Contact insurance companies for benefit investigation and coverage eligibility.

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Provide prior authorizations and appeals support.

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Assist patients with the enrollment process for manufacturer and non-profit organization copay assistance programs.

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Update job knowledge by participating in educational opportunities and training activities. Work efficiently both individually and within a team to accomplish required tasks.

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Maintain and improve quality results by adhering to standards and guidelines by meeting quality standards set forth by program KPI’s.

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Report ADE’s according to program policy and guidelines Adhere to all HIPAA guidelines May assist with onboarding new employees.

Schedule:

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Must be available for an 8 hour shift between 8am-8pm EST

Requirements

~2 min read

Some College.
Bilingual Spanish - English

Previous experience in Patient Support Services (Hub).

Previous Customer 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 https://jobs.iqvia.com

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. https://jobs.iqvia.com/eoe

IQVIA 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, when annualized, is $37,400.00 - $93,600.00. 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.