Bilingual Care Manager – Patient Support Call Center -Remote

Care Manager Position Summary

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. In this remote role, Care Managers may also contact patients and/or providers to evaluate eligibility for assistance programs and varied adherence support.

• Perform outbound calls to obtain appropriate information and document accurately.
• Answer inbound calls and assist customers with pharmacy-related services.
• Maintain strict professionalism in all communication methods while providing efficient, courteous, and friendly service.
• Contact insurance companies for benefit investigation and coverage eligibility.
• Provide prior authorizations and appeals support.
• Assist patients with the enrollment process for manufacturer and non‑profit organization copay assistance programs.
• 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 meeting quality standards set forth by program KPIs.
• Report ADEs according to program policy and guidelines. Adhere to all HIPAA guidelines. May assist with onboarding new employees.

• Must be available for an 8‑hour shift between 8 a.m. and 8 p.m. EST.

• High School Diploma or equivalent.
• Minimum one year experience in medical billing, reimbursement, insurance verification, or similar related medical office experience.
• Bilingual (English & Spanish).
• Previous data entry experience (minimum three months) and ability to type 30 wpm or more.
• Ability to demonstrate high attention to detail in work.
• Must be computer savvy, including navigating multiple computer tabs, monitors, and applications.
• Advanced ability/knowledge of all Microsoft Suite programs (Teams, Word, Excel, Outlook, etc.) and soft phone systems (Web Ex, Mitel, Shore Tel, etc.).
• Exceptional communication skills, both written and verbal.
• Ability to work in a virtual team environment by being available and responsive during working hours.
• Excellent follow through. This is a remote position.
• 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.
• Must reside in the country where the job is posted.

• Some college education.
• Previous experience in Patient Support Services (Hub).
• Previous customer service experience in the healthcare field.

The potential base pay range for this role is $23.00 - $24.00 per hour. The actual base pay offered may vary based on a number of factors including job‑related qualifications such as knowledge, skills, education, and experience; location; and/or schedule (full or part‑time). Dependent on the position offered, incentive plans, bonuses, and/or other forms of compensation may be offered, in addition to a range of health and welfare and/or other benefits.

IQVIA is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other status protected by applicable law.

EEO Minorities/Females/Protected Veterans/Disabled