Care Manager
Skills
Attention To DetailBilling ProcessData EntryMedical BillingPresentation SkillsPresentationsPrior Authorization
What the job involves
The main requirements, responsibilities and hiring steps.
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.
- Ability to use MS Office.
Nice to have
- Bilingual (Spanish)
- Experience using a CRM
Day to day
- 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.
- Responsible for answering in-bound calls and assisting customers with pharmacy related services.
- Assist patients with the enrollment process for manufacturer and non-profit organization copay assistance programs.
- Complete prior authorizations with attention to detail and accuracy, then reviewed by a clinical pharmacist.