Integration Manager
Redox
Senior Care Manager – Patient Support Services
IQVIA
contract
Posted on:
Location Type: Remote
Location: Remote • Florida, North Carolina, Texas • 🇺🇸 United States
Visit company websiteSalary
💰 $23 per hour
Job Level
Senior
About the role
- Contact insurance companies to obtain correct eligibility information
- Perform benefit investigations, copay assistance, and check prior authorization and/or appeal status
- Directly contact patients and/or providers to evaluate eligibility for assistance programs and/or varied adherence support
- Perform outbound calls to obtain appropriate information and document accurately
- Responsible for answering in-bound calls and assisting customers with pharmacy related services
- 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
- Adhere to all HIPAA guidelines
- May assist with onboarding new employees
Requirements
- High School Diploma or equivalent, some college preferred
- Minimum one year experience in medical billing, reimbursement, insurance verification, or similar related medical office experience
- Previous data entry experience (minimum three months) and ability to type 30wpm+
- Exceptional communication skills, both written and verbal
- Advanced ability/knowledge of all Microsoft Suite programs (Teams, Word, Excel, Outlook, etc.) and soft phone systems (WebEx, Mitel, Shoretel, etc.)
- 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 not permitted.
Benefits
- 100% remote (work from home—WFH)
- Maintain strict professionalism in all communication methods while providing efficient, courteous, and friendly service
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
medical billingreimbursementinsurance verificationdata entrytyping 30wpm+benefit investigationsprior authorizationappeals supportcopay assistancequality standards
Soft skills
communication skillswritten communicationverbal communicationcustomer serviceattention to detailorganizational skillsproblem-solvingteam collaborationadaptabilitytraining and onboarding
Certifications
High School Diplomaequivalent certification
