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Patient Access Case Manager
A company is looking for a Patient Access Case Manager. Key Responsibilities Manage patient cases through the insurance authorization and appeal process Draft appeal letters and monitor payer communications until final determination is made Document case activity and communicate effectively with internal and external stakeholders Required Qualifications 2+ years of experience in a pain management or spine prior authorization role Experience with reviewing clinical records and submitting prior authorization requests Understanding of payer coverage criteria and experience in drafting appeals 2+ years of experience utilizing software systems for task management High school diploma
A company is looking for a Patient Access Case Manager.
Key Responsibilities
Manage patient cases through the insurance authorization and appeal process
Draft appeal letters and monitor payer communications until final determination is made
Document case activity and communicate effectively with internal and external stakeholders
Required Qualifications
2+ years of experience in a pain management or spine prior authorization role
Experience with reviewing clinical records and submitting prior authorization requests
Understanding of payer coverage criteria and experience in drafting appeals
2+ years of experience utilizing software systems for task management
High school diploma
