Care Manager

4 weeks ago


Jacksonville, Florida, United States IQVIA Full time
Job Title: Care Manager

IQVIA is seeking a highly skilled Care Manager to join our team. As a Care Manager, you will play a critical role in ensuring that patients receive the best possible care and support.

Key Responsibilities:
  • Contact insurance companies to obtain correct eligibility information and perform benefit investigations.
  • 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.
  • 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.
  • Work efficiently both individually and within a team to accomplish required tasks.
  • 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.
Requirements:
  • High School Diploma or equivalent, some college preferred.
  • Minimum one year experience in medical billing, insurance verification, or similar related medical office experience.
  • Previous data entry experience (minimum three months) and ability to type 30wpm+.
  • Able to demonstrate high attention to detail in work.
  • Must be computer savvy, to include navigating multiple computer tabs, monitors, and applications.
  • Advanced ability/knowledge of all Microsoft Suite programs (Teams, Word, Excel, Outlook, etc.) and soft phone systems (WebEx, Mitel, Shoretel, 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.
Preferred Qualifications:
  • Previous experience in Patient Support Services (Hub).
  • Previous Customer Service experience in the healthcare field.
  • Bilingual.
Professional Competencies:
  • Business Skills and Knowledge.
  • General Management.
  • Quality improvement.
  • Knowledge of the Health Care Environment.
  • Health Care Systems and Organizations.
  • The Patient's Perspective.
  • Communication and Relationship Management.
  • Relationship Management.
  • Communication Skills.
  • Professionalism.

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.

We are committed to providing equal employment opportunities for all, including veterans and candidates with disabilities. IQVIA's ability to operate and provide certain services to customers and partners necessitates IQVIA and its employees meet specific requirements regarding COVID-19 vaccination status.


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