Care Manager - Patient Call Center
Must reside in country where the job is posted., 8am-8pm ESTFull-TimeMiddle
Salary45,760 - 47,840 USD per year
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Job Details
- Languages
- Bilingual Spanish - English
- Experience
- Minimum one year experience in medical billing, reimbursement, insurance verification, or similar related medical office experience.
- Required Skills
- Microsoft Office SuiteData entry
Requirements
- High School Diploma or equivalent
- Minimum one year experience in medical billing, reimbursement, insurance verification, or similar medical office experience
- Previous data entry experience (minimum three months)
- Typing speed of 30wpm+
- Computer savvy, including navigating multiple tabs, monitors, and applications
- Advanced knowledge of Microsoft Suite (Teams, Word, Excel, Outlook)
- Experience with soft phone systems (WebEx, Mitel, Shoretel)
- Exceptional written and verbal communication skills
- Ability to work in a virtual team environment
- Private workspace free of distraction
- Internet plug-in accessibility (Wi-fi not permitted)
Responsibilities
- Perform outbound calls to obtain appropriate information and document accurately.
- Answer in-bound calls and assist customers with pharmacy related services.
- Maintain strict professionalism in all communication methods.
- Contact insurance companies for benefit investigation and coverage eligibility.
- Provide prior authorizations and appeals support.
- Assist patients with the enrollment process for copay assistance programs.
- Update job knowledge by participating in educational opportunities.
- Maintain and improve quality results by adhering to program KPI’s.
- Report ADE’s according to program policy and guidelines.
- Adhere to all HIPAA guidelines.
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