Care Manager – Patient Support Call Center - Work from Home
$45,760–$47,840 year
On-siteDallas, Texas, United States
Dallas, Texas, United StatesOn-siteFull Time$45,760–$47,840 yearSmall
Full TimeSmall
Job Summary
Conduct outbound calls to obtain eligibility information, document responses accurately, and perform benefit investigations. Answer inbound inquiries regarding pharmacy services, assist patients with copay assistance enrollment, and verify prior authorization or appeal status. Maintain strict professionalism and HIPAA compliance while adhering to program KPIs and quality standards. Report adverse drug events per policy guidelines. Requires an 8-hour shift between 8am-8pm EST. High school diploma and one year of medical billing or insurance verification experience required.
Required Qualifications
- High School Diploma or equivalent
- 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+
- 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
- Must reside in country where the job is posted
- Must be available for an 8 hour shift between 8am-8pm EST
- Employees 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
Desired Qualifications
- Some College
- Bilingual Spanish - English
- Previous experience in Patient Support Services (Hub)
- Previous Customer Service experience in the healthcare field
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