Bilingual Reimbursement Case Manager

Job Summary

A company is looking for a Case Manager, Reimbursement - Bilingual (Spanish).

Key Responsibilities

• Oversee and coordinate caseloads to ensure timely completion of all case elements and tasks
• Act as the single point of contact for prior authorization and appeal processing communications
• Assess and refer patients for special programs/services as needed

Required Qualifications

• Bachelor's degree or six years of relevant working experience
• Two or more years of relevant experience in pharmacy benefit management preferred
• Bilingual in English and Spanish (verbal and written) required
• Experience as a Medical Assistant, Social Worker, or Senior Reimbursement Specialist preferred
• Proficient in Microsoft Office applications and knowledgeable in medical and claims processing terminology