Medical Claims Specialist

1 week ago


Charleston, West Virginia, United States IQVIA Holdings, Inc. Full time

Care Management Role Overview

Care Managers at IQVIA Holdings, Inc. are responsible for ensuring seamless communication with insurance companies to obtain accurate eligibility information, conducting thorough benefit investigations, and verifying copay assistance and prior authorization status.

This remote position requires strong analytical and problem-solving skills to navigate complex healthcare systems and resolve issues efficiently.

Key Responsibilities:

  • Collaborate with insurance companies to verify patient eligibility and benefits
  • Conduct benefit investigations to identify potential issues
  • Verify copay assistance and prior authorization status
  • Develop and implement solutions to resolve issues

Requirements:

  • Strong analytical and problem-solving skills
  • Excellent communication and interpersonal skills
  • Ability to work independently in a remote setting
  • Proficiency in healthcare systems and regulations


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