Case Manager
Location: 100% Remote | Equipment Provided
Schedule: Monday - Friday | Operating Hours of 8am - 5pm CST
Compensation: $18.50/hr | Weekly Pay + Optional Benefits
Delivering an exclusive model that fully integrates direct drug distribution to site-of-care with noncommercial pharmacy services, patient access support, and financial programs, our client helps specialty pharmaceutical manufacturers have a greater connection to the customer experience and better control of product success. Personalized service and creative solutions executed through a flexible technology platform means providers are more confident in prescribing drugs, patients can more quickly obtain and complete therapy, and manufacturers can directly access more actionable insight than ever before.
Essential Duties:
- Monitor system accounts for new Patient cases
- Conduct outbound calls to patients to confirm approval/denials of coverage, co-pays and verification of specialty pharmacy that will dispensing their medication
- Contact insurance companies as required to obtain and enter accurate benefit information to positively impact insurance processing and minimize rejections
- Mediate effective resolution for complex payer/pharmacy issues toward a positive outcome to deescalate
- Place outbound calls to patients to assess for eligibility for co-pay and financial assistance
- Answer minimal inbound calls from doctors and/or patients checking on status of case
- Maintain quality while providing an empathetic and supportive experience to the patients, providers, and physician offices
- Resolve patient's questions and concerns regarding status of their request for assistance
- Enter detailed information into company proprietary software while conversing via telephone
- Steward patient accounts from initial contact through final approval/denial
- Process all patient applications in accordance to set policy, procedures and PHI compliance
- Speak with manufacturer field team members on case updates via phone or by email
- Works internally with team members regarding patients' cases
- Ability to identify, document and submit Adverse Events during customer contact or via received documentation
- Conduct research associated with alternative funding or foundations to ensure patient has required information to receive product
- Effectively applies knowledge of job and company policies and procedures to complete a variety of assignments
- In-depth knowledge in technical or specialty area
- Applies advanced skills to resolve complex problems independently
- May modify process to resolve situations
- Works independently within established procedures; may receive general guidance on new assignments
- May provide general guidance or technical assistance to less experienced team members
Desired Attributes:
- Willingness to learn
- Self-starter
- Attention to detail
- Adaptable
- Organized
- Attentiveness
- Compassionate
- Empathy
#CS1
Job Type: Full-time
Pay: $18.50 per hour
Expected hours: 40 per week
Benefits:
- Dental insurance
- Health insurance
- Life insurance
- Vision insurance
Schedule:
- 8 hour shift
- Monday to Friday
Experience:
- ICD coding: 1 year (Required)
- Pharmaceutical Industry: 1 year (Required)
- Pharmacy Benefits Management: 1 year (Required)
- Medicare & Medicaid: 1 year (Required)
Work Location: Remote