Reimbursement Case Manager
1 week ago
We are seeking a highly skilled Reimbursement Case Manager to join our team at CornerStone Staffing. As a Reimbursement Case Manager, you will be responsible for managing reimbursement cases for specialty products and devices, identifying alternative funding options, and providing clinical services to patients.
Key Responsibilities- Manage reimbursement cases for specialty products and devices
- Identify alternative funding options for patients
- Provide clinical services to patients
- Work interactively with patients, healthcare providers, pharmacies, and manufacturer clients
- Support various reimbursement and patient assistance functions
- Respond to patient and provider account inquiries
- Document all interactions into the client system in compliance with HIPAA regulations
- Previous 3+ years of experience in a specialty pharmacy, medical insurance, reimbursement hub experience, physician's office, healthcare setting, and/or insurance background
- Bachelor's Degree Preferred
- Excellent verbal and written communication skills
- Ability to multi-task and adapt to changing priorities
- Proficient keyboard skills
- Competency in MS Word and Excel
- Knowledge of HIPAA regulations
- Detailed oriented and highly organized
- Knowledge of pharmacy benefits, and medical benefits
- Global understanding of commercial and government payers preferred
- Ability and initiative to work independently or as a team member
- Ability to problem solve
- Customer satisfaction focused
This is a remote work opportunity, and the ideal candidate will be able to work independently and as part of a team. The successful candidate will be able to communicate effectively with patients, healthcare providers, and other stakeholders.
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