Case Manager (Benefit Investigation)

Job Summary

A company is looking for a Case Manager (Benefit Investigation).

Key Responsibilities

• Manage the care process from benefit investigation and verification to medication delivery
• Conduct benefit verifications and collaborate with healthcare providers for patient care coordination
• Assist patients with insurance coverage understanding and the appeals process

Required Qualifications

• 2-4 years of industry experience with patient-facing or high-touch customer interaction
• Previous Hub or Patient Support Service experience preferred
• High School diploma or GED
• Knowledge of Medicare, Medicaid, and Commercial payer policies preferred
• Strong understanding of pharmaceutical therapies and medication adherence challenges preferred