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/Case Manager

Case Manager

Lewisville, TX, USRemoteusvia direct
// Job Type
Full Time
// Salary
Not disclosed
// Posted
2 months ago
// Work Mode
remote

About the Role

Job Title:
Case Manager
Address:
Lewisville, TX
Job Description
  • Monitor system accounts for new patient cases.
  • Conduct outbound calls to confirm approval/denials of coverage and verification of specialty pharmacies.
  • Maintain quality while providing empathetic support to patients and healthcare providers.
  • Enter detailed information into company software while conversing via telephone.
  • Process all patient applications in compliance with policy and PHI regulations.
  • Conduct research to determine patient eligibility for alternative funding.
  • Work independently within established procedures.
Critical Information
  • 100% remote; must work any 8-hour shift between 7AM-7PM CST as assigned.
  • Requires a distraction-free environment with high-speed internet (minimum 15 Mbps download).
Education/Licenses Needed
  • Minimum of HS diploma; additional education preferred.
  • Previous healthcare experience with insurance or in pharmaceutical industry preferred.
  • Pharmacy benefits management experience preferred.
Benefits:
  • Benefits are available to full-time employees after 90 days of employment.
  • A 401(k) with company match is available after 1 year of service.
  • This is an AI-formatted job description; recruiter confirmation required.
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