Texas Licensed Case Manager

Job Summary

Working remotely full-time, the Texas Licensed Case Manager will manage patient enrollment applications, respond to inquiries regarding financial assistance, and ensure accurate documentation while maintaining a high level of service.

Key responsibilities

• Serve as the first point of contact for inbound calls, assessing patient needs and providing appropriate support
• Create and complete enrollment applications with urgency, ensuring thorough scrutiny of documentation
• Conduct follow-up communications to resolve patient inquiries and track benefit investigation processes

Required qualifications

• Previous customer service experience
• High School diploma or equivalent preferred
• 1-2 years of experience in Pharmacy and/or Medical Claims billing and coding
• Clear knowledge of Medicare, Medicaid, and commercial payer policies preferred
• Intermediate to advanced proficiency in Microsoft Office applications