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Reimbursement Case Manager
2 months ago
CornerStone Staffing is seeking a highly skilled Reimbursement Case Manager to join our team. As a Reimbursement Case Manager, you will play a critical role in managing customer service and case management tasks, collaborating with patients, healthcare providers, pharmacies, and manufacturer clients to support various reimbursement and patient assistance functions.
Key Responsibilities:- Customer Service and Case Management: Serve as the primary contact and advocate for all providers and patients, demonstrating compassion and professionalism.
- Therapy Access and Support: Coordinate access to therapies, conduct follow-ups, and facilitate access to necessary support services.
- Case Load Management: Manage a case load based on program parameters.
- Information Collection and Review: Collect and review patient information as authorized by program SOPs.
- Eligibility Determination: Determine patient eligibility and conduct enrollment activities for patient assistance programs and copay assistance.
- Reimbursement-Related Tasks: Perform reimbursement-related tasks such as benefit investigations, prior authorizations, and appeals.
- Customer Service and Support: Provide exceptional customer service to internal and external customers; resolve customer requests promptly and accurately, escalating complaints as needed.
- Experience: At least 3 years of experience in a specialty pharmacy, medical insurance, reimbursement hub, physician's office, healthcare setting, or similar environment is preferred.
- Education: Bachelor's Degree is preferred.
- Skills: Excellent verbal and written communication skills, ability to multi-task and adapt to shifting priorities, proficient keyboard skills, competent in MS Word and Excel, knowledge of HIPAA regulations, detail-oriented and highly organized, understanding of pharmacy and medical benefits, familiarity with commercial and government payers is preferred.
CornerStone Staffing is an equal opportunity employer and welcomes applications from diverse candidates. If you are a motivated and detail-oriented individual with a passion for delivering exceptional customer service, we encourage you to apply for this exciting opportunity.
