Reimbursement Case Manager

A company is looking for a Case Manager to serve as a patient advocate for specialty pharmaceuticals. Key Responsibilities Oversee and coordinate caseload to ensure timely completion of case elements and tasks Act as the single point of contact for prior authorization and appeal processing communications Assess and refer patients for special programs/services and perform quality checks on cases Required Qualifications Bachelor's degree or six years of relevant working experience Two or more years of relevant experience in pharmacy benefit management preferred Experience as a Medical Assistant, Social Worker, or Senior Reimbursement Specialist preferred Proficient in Microsoft Office applications Knowledge of medical and claims processing terminology

Jun 2, 2025 - 21:40
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Reimbursement Case Manager
A company is looking for a Case Manager to serve as a patient advocate for specialty pharmaceuticals. Key Responsibilities Oversee and coordinate caseload to ensure timely completion of case elements and tasks Act as the single point of contact for prior authorization and appeal processing communications Assess and refer patients for special programs/services and perform quality checks on cases Required Qualifications Bachelor's degree or six years of relevant working experience Two or more years of relevant experience in pharmacy benefit management preferred Experience as a Medical Assistant, Social Worker, or Senior Reimbursement Specialist preferred Proficient in Microsoft Office applications Knowledge of medical and claims processing terminology