Case Manager

3 weeks ago


Clarksville, United States TEKsystems Full time
Job DescriptionJob Description

Description:

Job Responsibilities for Case Manager:

- Compassionately deliver an exceptional experience to many patients per day always remembering that every prescription or document belongs to a real person who is looking for thorough efficient management of their records.

- Adjust your approach to their needs by communicating clearly, focusing on the accuracy of the details of their medical records and your mastery of the program requirements, and ensuring their prescriptions or cases are handled timely.

- Reporting of Adverse Events/Product Complaint inquiries received in accordance with SOP and good manufacturer practices

- Provides timely feedback to the company regarding service failures r customer concerns

- Effectively uses internal technology platform to complete claims processing and keep workflows moving

- Communicate with key medical practice accounts, sales representatives regarding the status of cases

- Provide consultative services where issues arise on how obstacles can be overcome to get patient on paid therapy.

Skills:

Customer service, Benefits administration, Prior Authorization, Benefit verification, Call center, Health insurance, Pharmacy, Insurance, Health care, Microsoft office

Top Skills Details:

Customer service, Benefits administration, Prior Authorization, Benefit verification, Call center, Health insurance, Pharmacy

Additional Skills & Qualifications:

Requirements:

- Bachelor's degree strongly preferred or equivalent experience required; completion of high school diploma or GED is required

- Medical terminology - strongly preferred

- 6 months of payer benefits experience (reimbursement, prior auth, etc), healthcare industry experience or healthcare related experience is required

- Bilingual is a plus

Additional Qualifications:

- Service minded individuals - focus on recognizing and meeting the needs of others (especially patients and care partners)

- Trouble-shooting and problem solving individuals

- Tough conversations - able to be a patient advocate for patients with high prescription costs

- Ability to handle personal health information with confidentiality

- Commitment to honesty and integrity

- Professionalism and a strong sense of proper business and customer service etiquette

- Clear verbal and written communication skills

- Accountability for results

- Ability to plan and prioritize tasks with close attention to detail

- Positive Attitude

Experience Level:

Entry Level

About TEKsystems:

We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company.

The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.


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