- Remote, United States
- Remote
- Contract
- $23–$23 per hour
- 2–10 years
The Executive Case Manager provides expertise on insurance coverage and common access and reimbursement challenges affecting patients, healthcare providers and clients.
Compensation
The pay range for this position is $23.00 - $23.00/hr.
Responsibilities
- Builds trusted relationships with patients, prescribers, and appropriate client stakeholders regarding reimbursement inquiries and challenges through proactive communication, timely and accurate execution of deliverables and demonstrated relentless passion for helping patients.
- Manages all relationships in a manner that adheres to all relevant laws, regulations, program-specific operating procedures and industry standards related to access and affordability, including HIPAA and insurance guidelines.
- Managed through call/contact center structure, this role supports inbound and outbound calls to patients, caregivers, specialty pharmacies and healthcare professionals.
- Performs post Benefits Investigation calls to patients and/or physicians explaining coverage options and next steps in the access journey.
- Manages all client inquiries as appropriate, such as case specific statuses.
Requirements
- Bachelor's degree
- Nice to have: degree in healthcare administration
- Nice to have: degree in social science
- Nice to have: PACS certification
- Nice to have: CHES certification