Reimbursement Case Manager

Job Summary

Reimbursement Case Manager is a fully remote position responsible for customer service and case management, acting as a single point of contact for patients, healthcare providers, and pharmacies while managing reimbursement and patient assistance functions.

Key Responsibilities

• Coordinate access to therapies and manage a caseload while serving as a patient advocate
• Perform reimbursement-related activities including benefit investigations and prior authorizations
• Document all interactions and maintain compliance with HIPAA regulations

Required Qualifications, Training, and Education

• 3+ years of experience in a specialty pharmacy, medical insurance, or healthcare setting preferred
• Bachelor's Degree preferred
• Extensive knowledge of HIPAA regulations
• Understanding of pharmacy and medical benefits
• Ability to work independently and as part of a team