Providing day-to-day case management oversight, the full-time remote Case Manager, Reimbursement will coordinate assigned caseloads, ensuring timely completion of prior authorizations, appeals, and eligibility assessments for additional services. Key responsibilities Oversee and coordinate caseload to ensure timely completion of all case elements and tasks Act as the primary contact for prior authorization and appeal processing communications with patients and healthcare providers Assess and refer patients for special programs/services as needed, while performing quality checks on cases Required qualifications Bachelor's degree or six years of relevant working experience Two or more years of relevant experience in pharmacy benefit management preferred Experience as a Medical Assistant, Social Worker, or Senior Reimbursement Specialist preferred Proficient in Microsoft Office applications Knowledge of medical and claims processing terminology
Case Manager, Reimbursement in workfromhome at Unknown Company
This position is listed as full time and able to be worked remotely.