Join our dynamic team as a Healthcare / Reimbursement Case Manager, where you'll play a crucial role in supporting patients and healthcare providers.
If you're passionate about making a difference and have experience in healthcare or insurance, apply online today!
Job Title : Healthcare / Reimbursement Case Manager
Location : Remote / WFH FL / NC / TX Residents ONLY
Pay : $18.00 - $23.00 / hourly
Schedule : 8 : 00am 8 : 00pm EST *Must be available to work within those hours*
Position Overview :
Responsible for customer service and case management. The role involves interacting with patients, healthcare providers, pharmacies, and manufacturer clients to support reimbursement and patient assistance functions.
Primary Duties and Responsibilities :
- Serve as a single point of contact for providers and patients, acting as a patient advocate with compassion.
- Coordinate access to therapies, follow up, and facilitate support services.
- Manage case load and validate patient information per program SOPs.
- Provide guidance on completing program applications and determine patient eligibility.
- Conduct reimbursement activities, including benefit investigations and prior authorizations.
- Deliver exceptional customer service and maintain frequent contact with relevant parties.
- Report Adverse Events and adhere to HIPAA regulations and company policies.
- Collaborate with inter-departmental associates and exercise judgment within SOPs.
Ideal Candidate :
- 3+ years of experience in specialty pharmacy, medical insurance, reimbursement hub, physician s office, healthcare setting, or insurance *REQUIRED*.
- 2+ years of experience in reimbursements *REQUIRED*.
- Bachelor's Degree preferred.
- Excellent verbal and written communication skills.
- Ability to multitask and adapt to changing priorities.
- Proficient in MS Word and Excel with strong keyboard skills.
- Knowledge of HIPAA regulations and pharmacy / medical benefits.
- Detail-oriented, highly organized, and customer satisfaction focused.
- Ability to work independently or as a team member and solve problems.
On-boarding Requirements :
- High School Diploma or equivalent (GED)
- Criminal Background & Drug Screening
- 2 verifiable employment references
Please read requirements carefully as we are prioritizing those that meet the requirements.
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