Case Manager - Benefit Investigation

Job Summary

A company is looking for an Insurance Benefit Case Manager.

Key Responsibilities:

• Manage the entire care journey, from benefit investigation to medication delivery
• Conduct benefit verifications and collaborate with healthcare providers, pharmacies, and payers
• Assist with obtaining prior authorizations and appeals as needed

Required Qualifications:

• Education: High school diploma or equivalent
• 2+ years of experience in a high-touch, customer-facing role
• Prior experience in a Hub or Patient Support Services role
• Knowledge of Medicare, Medicaid, and commercial insurance policies required
• Strong computer proficiency (data entry, MS Office)