Texas Licensed Pharmacy Case Manager

Job Summary

A company is looking for a Pharmacy Reimbursement Case Manager.

Key Responsibilities

• Manage the entire patient care process from benefit verification to medication delivery
• Conduct benefit investigations and collaborate with healthcare providers and insurance companies
• Assist with prior authorizations, appeals, and educate patients on insurance coverage

Required Qualifications

• 2-4 years of experience in a patient-facing, healthcare, or customer service role preferred
• High School Diploma or GED required
• Familiarity with Medicare, Medicaid, and commercial insurance preferred
• Proficient in MS Office and data entry systems
• Ability to work independently while maintaining productivity and accuracy