Reimbursement Case Manager

Job Summary

Working remotely in a full-time capacity, the Reimbursement Case Manager will manage patient and provider inquiries, coordinate access to therapies, and perform reimbursement-related activities while ensuring compliance with HIPAA regulations.

Key responsibilities

• Act as a single point of contact for patients and providers, advocating for patient needs and enhancing their experience
• Conduct patient enrollment activities and validate the completeness of required information for reimbursement processes
• Provide exceptional customer service, resolving inquiries and coordinating with inter-departmental associates as needed

Required qualifications

• Minimum of 3 years of experience in a specialty pharmacy, medical insurance, or healthcare setting
• Bachelor's Degree preferred
• Extensive knowledge of HIPAA regulations and reimbursement processes
• Proficiency in MS Word and Excel
• Strong understanding of pharmacy and medical benefits