Care Managers are responsible for contacting insurance companies to obtain correct eligibility information, perform benefit investigations, copay assistance and check prior authorization and/or appeal status. They also assist patients with pharmacy-related services, including enrollment in copay assistance programs.
Requirements
- Responsible for answering in-bound calls and assisting customers with pharmacy-related services.
- Obtain client information by answering telephone calls; interviewing clients; 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.
Benefits
- Generous Paid Time Off
- 401k Matching
- Health and welfare benefits
- Bonus structure