Remote Case Manager

Job Summary

Managing patient cases from initial intake through final approval, the full-time Remote Case Manager will conduct outbound outreach, verify benefits, and resolve payer issues while working remotely in a call center environment.

Key Responsibilities

• Monitor system queues for new patient cases and place outbound calls to confirm coverage details
• Contact insurance companies to obtain and accurately enter benefit information while resolving complex payer/pharmacy issues
• Document detailed case notes in proprietary software and manage patient accounts end-to-end

Required Qualifications

• High School Diploma required; additional education preferred
• 2 years of healthcare administration experience in a high-volume call center
• 2 years of experience with Medicaid/Medicare and prior authorization/appeals
• Strong proficiency with Microsoft products and video conferencing tools
• Typing speed of at least 40 WPM with strong accuracy