Patient Access Case Manager

Job Summary

A company is looking for a Patient Access Case Manager.

Key Responsibilities

• Manage patient cases through the insurance authorization and appeal process
• Draft appeal letters and monitor payer communications until final determination is made
• Document case activity and communicate effectively with internal and external stakeholders

Required Qualifications

• 2+ years of experience in a pain management or spine prior authorization role
• Experience with reviewing clinical records and submitting prior authorization requests
• Understanding of payer coverage criteria and experience in drafting appeals
• 2+ years of experience utilizing software systems for task management
• High school diploma