Case Manager Remote

Case Manager (Remote) - Lewisville, TX

Location: Remote (Lewisville, TX)

Schedule: Full-time, 40 hrs/week. Assigned 8-hour shift between 7:00 AM - 7:00 PM CST. Training is Monday - Friday 8:00 AM - 5:00 PM CST for 4-6 weeks (camera required). Pay: Not listed

Summary

Now hiring a remote Case Manager to support patient cases from intake through approval/denial outcomes. This Case Manager role focuses on outbound patient calls, benefits verification support, payer/pharmacy issue resolution, documentation, and compliance (PHI). Ideal for candidates with healthcare insurance experience, pharmacy benefits, prior authorization, appeals, or patient access support.

Responsibilities

• Monitor queues for new patient cases and manage case progression
• Call patients to confirm approvals/denials, copays, and pharmacy dispensing details
• Contact insurers to obtain and update benefit information
• Resolve payer/pharmacy issues and document outcomes clearly
• Maintain patient/provider support with empathy and professionalism
• Identify and submit adverse events compliantly when applicable
• Research potential funding/foundation support options when needed

Qualifications

• High School Diploma/GED (required); additional education a plus
• Healthcare insurance, patient access, PBM, prior authorization, or appeals experience (preferred)
• Strong documentation, communication, and multitasking skills
• Strong computer skills and comfort using CRM/proprietary systems

Remote readiness

quiet private workspace; hardwired broadband internet required

Application requirement

laptop/desktop + Google Chrome; plan 20-30 minutes to apply