Medical Billing Specialist
4 days ago
Care Manager Job Summary
US01 AllCare Plus Pharmacy, Inc. is seeking a skilled Care Manager to join our team. As a Care Manager, you will be responsible for contacting insurance companies to obtain correct eligibility information, performing benefit investigations, copay assistance, and checking prior authorization and/or appeal status.
Key Responsibilities:
- Answer in-bound calls and assist customers with pharmacy-related services.
- Obtain client information by answering telephone calls, interviewing clients, and verifying information.
- Contact insurance companies for benefit investigation and coverage eligibility.
- Complete prior authorizations with attention to detail and accuracy, to then have the prepared prior authorization reviewed by a clinical pharmacist.
- Assist patients with the enrollment process for manufacturer and non-profit organization copay assistance programs.
- Provide customers with courteous, friendly, fast, and efficient service.
- 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 and recommending improved procedures.
Requirements:
- High School diploma required, associate degree or higher preferred.
- Minimum 2+ years' experience in medical billing, insurance verification, or similar patient services experience preferred.
- Demonstrated time management skills; planning and prioritization skills; ability to multi-task and maintain prioritization of key projects and deadlines.
- Demonstrated effective presentation skills; ability to motivate others; excellent interpersonal (written and verbal) communication skills.
- Demonstrated effectiveness to work cross-functionally within a team.
- Demonstrated ability to work effectively in an independent environment.
- Demonstrated ability to build relationships with customers and third parties.
- Demonstrated ability to adapt to a fast-paced, changing work environment and responsibilities.
- Fully competent in MS Office (Word, Excel, PowerPoint).
- Excellent documentation accuracy.
- Drive and enthusiasm for supporting customers.
- Excellent listening and problem-solving skills.
- Experience using a CRM and integrated telephony platform a plus.
- Previous data entry experience and ability to type 30wpm+.
- Bilingual (Spanish) highly desirable.
Pay and Benefits:
The pay for this role is $22/hour. IQVIA is a leading global provider of advanced analytics, technology solutions, and clinical research services to the life sciences industry. We believe in pushing the boundaries of human science and data science to make the biggest impact possible – to help our customers create a healthier world.
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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