Reimbursement Case Manager

Job Summary

Working remotely in a full-time capacity, the Reimbursement Case Manager will manage customer service and case management for patients and healthcare providers, coordinating access to therapies and providing guidance on reimbursement processes.

Key responsibilities

• Acts as a single point of contact for patients and providers, advocating for their needs and enhancing their experience
• Coordinates access to therapies and conducts follow-ups to facilitate support services
• Performs reimbursement-related activities, including benefit investigations and prior authorizations

Required qualifications

• 3+ years of experience in a specialty pharmacy, medical insurance, or healthcare setting preferred
• Bachelor's Degree preferred
• Extensive knowledge of HIPAA regulations
• Proficiency in MS Word and Excel
• Understanding of pharmacy and medical benefits, including commercial and government payers