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IQVIA Sr. Care Manager- Novasyte in Indianapolis, Indiana

Position Description:

The Sr. Care Manager is responsible for following specific program workflows that include, but are not limited to, contacting insurance companies to obtain correct eligibility information, performing benefits investigations for both pharmacy and medical coverage as it pertains to a specific therapy, provide copay assistance, act as the single point of contact for the patient and provider office and following up with payors on prior authorization and/or appeal statuses.

Responsibilities:

  • Responsible for single point of contact communication with providers on behalf of patients in a designated geographical area

  • Contact insurance companies to perform appropriate benefit investigation(s) and coverage eligibility for client product only – medical benefit 90%, pharmacy benefit 10%.

  • If applicable, assist with the prior authorizations with specific attention to detail and accuracy with provided information.

  • Assist patients with the enrollment process for manufacturer and non-profit organization copay assistance programs

  • Provide courteous, friendly, professional and efficient service to internal and external customers including physicians and patients.

  • 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

  • Eligibility authorization and enrollment into Patient Assistance Program(s)

  • Ability to verify insurance requirements to support current billing processes

  • Demonstrate a firm grasp of medical billing processes communicating knowledge to internal and external customers

  • Identifying and providing corrective action for medical billing reimbursement support specifically to provider offices

Advantages & Value:

In addition to working with the company strives to provide employee growth and well-being, you have the opportunity to:

  • Be at the forefront of cutting edge technology

  • Gain professional growth and exposure to medical device industry

Preferred Qualifications:

  • Experience with CPT codes, ICD-10 coding, and CMS 1500 Form submission

  • Knowledge of third-party insurance, operating procedures, and billing practices

  • Flexible work schedule

  • Medical billing and coding certification is a plus

  • Bilingual (Spanish) highly desirable

  • Ability to use MS Office

Job Requirements :

  • Intermediate computer skills required (must be comfortable with basic software programs and Microsoft operating system)

  • Possess strong time management skills and the ability to work under a deadline

  • Ability to work as part of a team and possess strong professional acumen

  • Ability to work required schedules

  • Entry level applicants accepted

  • An active and unrestricted driver license is required for this position

  • Access to high speed internet connection

  • Education requirement - High School GED or equivalent

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At IQVIA, we believe in pushing the boundaries of human science and data science to make the biggest impact possible – to help our customers create a healthier world. The advanced analytics, technology solutions and contract research services we provide to the life sciences industry are made possible by our 67,000+ employees around the world who apply their insight, curiosity and intellectual courage every step of the way. Learn more at jobs.iqvia.com .

IQVIA is an EEO Employer - Minorities/Females/Protected Veterans/Disabled

IQVIA, Inc. provides reasonable accommodations for applicants with disabilities. Applicants who require reasonable accommodation to submit an application for employment or otherwise participate in the application process should contact IQVIA’s Talent Acquisition team at workday_recruiting@iqvia.com to arrange for such an accommodation.

At IQVIA, we have a vision. Where every healthcare decision is based on evidence. Where data science and human science come together to improve global health. Where new and creative solutions aren’t just possible – they are expected.

Thank you for your interest in growing your career with us. It takes insight, curiosity, and intellectual courage to transform healthcare. The 56,000+ employees of the IQVIA family of companies, including Q2 Solutions, are reimagining a world without the consequences of disease. We are brave minds bringing powerful ideas to reality. At IQVIA, you can truly make an impact in an environment where you’re supported to succeed.

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