Remote Healthcare Case Manager

Job Summary

An integrated healthcare services and products company is in need of a Remote Healthcare Case Manager.

Must be able to:

• Be the first point of contact on inbound calls and determines needs and handles accordingly
• Create and complete accurate applications for enrollment with a sense of urgency
• Conduct outbound correspondence when necessary to help support the needs of the patient and/or program

Skills and Requirements Include:

• 1-2 years experience with Prior Authorization and Appeal submissions
• 1-2 years of Pharmacy and/or Medical Claims billing and Coding work experience
• Previous customer service experience is required
• Ability to work with high volume production teams with an emphasis on quality