Reimbursement Case Manager
1 week ago
CornerStone Staffing is seeking a highly skilled Reimbursement Case Manager to join our team. 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:- Act as a single point of contact for patients and healthcare providers, providing exceptional customer service and advocating for patient needs.
- Manage case loads, collecting and reviewing patient information, and providing guidance on program applications and enrollment activities.
- Perform reimbursement-related activities, such as benefit investigations, prior authorizations, and appeals.
- Provide reimbursement information to providers and patients, and coordinate with inter-departmental associates as needed.
- Exercise judgment within defined standard operating procedures to determine appropriate action, and maintain frequent phone contact with patients, provider representatives, and pharmacy staff.
- 3+ years of experience in a specialty pharmacy, medical insurance, reimbursement hub, or healthcare setting.
- Bachelor's Degree preferred.
- Excellent verbal and written communication skills, with ability to multi-task and adapt to changing priorities.
- Proficient keyboard skills, with competency in MS Word and Excel.
- Knowledge of HIPAA regulations and pharmacy benefits.
CornerStone Staffing offers a competitive hourly rate of $20.00 - $23.00, with a flexible 8-hour shift schedule Monday-Friday between 7am - 7pm CST / 8am - 8pm EST. We also offer a fully remote work environment, with equipment provided.
Candidates must reside in Texas, Florida, or North Carolina to be considered for this role.
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