Join our dynamic team as a Healthcare/Reimbursement Case Manager, where you'll play a crucial role in supporting patients and healthcare providers. If you're passionate about making a difference and have experience in healthcare or insurance, apply online today!

Job Title: Healthcare/Reimbursement Case Manager

Location: Remote/WFH | **FL/NC/TX Residents ONLY**

Pay: $18.00 - $23.00/hourly

Schedule:  8:00am 8:00pm EST   *Must be available to work within those hours*

**SEASONAL NEED - TEMP PROJECT**

Position Overview:
Responsible for customer service and case management. The role involves interacting with patients, healthcare providers, pharmacies, and manufacturer clients to support reimbursement and patient assistance functions.

Primary Duties and Responsibilities:

• Serve as a single point of contact for providers and patients, acting as a patient advocate with compassion.
• Coordinate access to therapies, follow up, and facilitate support services.
• Manage case load and validate patient information per program SOPs.
• Provide guidance on completing program applications and determine patient eligibility.
• Conduct reimbursement activities, including benefit investigations and prior authorizations.
• Deliver exceptional customer service and maintain frequent contact with relevant parties.
• Report Adverse Events and adhere to HIPAA regulations and company policies.
• Collaborate with inter-departmental associates and exercise judgment within SOPs.

Ideal Candidate:

• 3+ years of experience in specialty pharmacy, medical insurance, reimbursement hub, physician s office, healthcare setting, or insurance *REQUIRED*.
• 2+ years of experience in reimbursements   *REQUIRED*.
• Bachelor's Degree preferred.
• Excellent verbal and written communication skills.
• Ability to multitask and adapt to changing priorities.
• Proficient in MS Word and Excel with strong keyboard skills.
• Knowledge of HIPAA regulations and pharmacy/medical benefits.
• Detail-oriented, highly organized, and customer satisfaction focused.
• Ability to work independently or as a team member and solve problems.

On-boarding Requirements:

• High School Diploma or equivalent (GED)
• Criminal Background & Drug Screening
• 2 verifiable employment references

Please read requirements carefully as we are prioritizing those that meet the requirements.

To Apply for this Job: Click the Apply Online button, then:

• If you are currently registered with CornerStone Staffing, click the Log In  button to add yourself as a candidate to this job - NOTIFY YOUR RECRUITER OF INTEREST IN JOB ORDER: 146548.
• If you are NOT currently registered with CornerStone Staffing, click the Create Account button to complete the application - then schedule a time with a recruiter LINK TO SCHEDULE:   snshqsc.co/phT7S4

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