Texas Licensed Case Manager

Job Summary

A company is looking for a Remote Prior Authorization & Benefits Case Manager.

Key Responsibilities

• Manage patient care coordination from benefit verification to medication delivery
• Assist with prior authorizations and insurance appeals while educating patients on coverage options
• Communicate with healthcare providers, payers, and specialty pharmacies to ensure timely access to medications

Required Qualifications

• 2-4 years of patient-facing or high-touch customer service experience preferred
• Hub Services or Patient Access/Support experience preferred
• Strong computer and data entry skills; proficiency in MS Office
• Knowledge of Medicare, Medicaid, and commercial insurance preferred
• High school diploma or equivalent preferred