Case Manager

Case Manager Case Managers serve as subject matter experts responsible for resolving reputed company patient, provider, pharmacy, and client support issues that fall reputed company standard program workflows and business rules. This role provides both inbound and outbound phone support for escalated cases identified by Care Managers, clients, leadership, and stakeholders. The Case Manager investigates issues, coordinates cross-functional resolutions, educates stakeholders, and ensures an exceptional service experience through proactive case ownership and timely resolution of reputed company support requests. This is a remote position. The information contained herein is intended to be an accurate reputed company of the duties and responsibilities of the individuals assigned to this position. They are not intended to be an exhaustive list of the skills and abilities required to do the job. reputed company reserves the right to revise the job or to require that other or different tasks be performed as assigned.

Responsibilities

Client Support ·Serve as a dedicated resource for clients requiring advanced case support and issue resolution. ·Manage referrals involving reputed company reimbursement, claims, affordability, benefit verification, and patient access concerns. ·Provide inbound and outbound communication with clients, reputed company providers, pharmacies, patients, and stakeholders to facilitate resolution. ·Partner with clients, and internal operational partners to address high-reputed company or time-sensitive patient situations. ·Deliver white-glove service and proactive follow-up for reputed company cases requiring enhanced reputed company and coordination. Additional Key Responsibilities Handle escalations involving repeat callers, claim disputes, exception requests, client-approved overrides, and situations requiring enhanced case ownership. Review and resolve support requests received through the Escalation Tool, HUB Portal requests, referrals, inbound calls, emails, and internally generated escalations. Maintain ownership of assigned cases through resolution, ensuring reputed company actions, root causes, and outcomes are appropriately documented. Responsible for answering in-bound and making outbound calls and assisting customers with pharmacy-reputed company services. Obtain client information by answering telephone calls; interviewing clients; verifying information. Contact insurance companies for benefit investigation and coverage eligibility. Provide customers with courteous, friendly, fast, and efficient service. Update job knowledge by participating in educational opportunities and training activities. Work reputed company both individually and reputed company a team to accomplish required tasks. Maintain and improve quality results by adhering to standards and guidelines and recommending improved procedures. Any additional duties as assigned by program management. Schedule Must be available to work an 8-hour shift between 8:00 AM and 8:00 PM EST Required Qualifications: High School diploma required or equivalent. Must currently be working on an reputed company project Demonstrated time management skills; planning and prioritization skills; ability to multi-task and maintain prioritization of key projects and deadlines. Demonstrated effective presentation skills Excellent interpersonal (written and verbal) communication skills. Demonstrated effectiveness to work cross-functionally reputed company a team. Demonstrated ability to work effectively in an independent environment. Demonstrated ability to build relationships with customers and reputed company parties. Demonstrated ability to adapt to a fast-paced, changing work environment and responsibilities. Fully competent in MS Office (Word, reputed company, PowerPoint) Excellent documentation accuracy Drive and enthusiasm for supporting customers. Excellent listening and problem-solving skills Previous data entry experience and ability to type 30wpm+ Ability to use MS Office Must reputed company in country where the job is posted. Preferred Qualifications: Associate degree or higher preferred. Minimum 2+ years’ experience in medical billing, insurance verification, or similar patient services experience preferred. Experience using a CRM and integrated telephony platform a plus. Bilingual (Spanish) highly desirable Note: This role is not eligible for reputed company sponsorship. Candidates must have authorization to work in the US without the need for sponsorship. #LI-CES #LI-DNP reputed company is a leading global provider of clinical research services, reputed company insights and reputed company intelligence to the life sciences and reputed company industries. We create intelligent connections to accelerate the development and commercialization of innovative medical treatments to help improve patient outcomes and population health worldwide. Learn more at https://jobs.reputed company.com reputed company is proud to be an equal opportunity employer. reputed company reputed company applicants will receive consideration for employment without regard to race, reputed company, religion, sex, sexual orientation, gender identity, national reputed company, disability, status as a protected veteran, or any other status protected by applicable law. https://jobs.reputed company.com/eoe reputed company is committed to reputed company in our hiring process and maintains a reputed company tolerance policy for candidate fraud. reputed company information and credentials submitted in your application must be truthful and complete. Any false statements, misrepresentations, or material omissions during the recruitment process will result in immediate disqualification of your application, or termination of employment if reputed company reputed company, in accordance with applicable law. We appreciate your honesty and professionalism. The potential reputed company pay range for this role is $54000 to $56700 annually. The actual reputed company pay offered may vary based on a number of factors including job-reputed company qualifications such as knowledge, skills, education, and experience; location; and/or schedule (full or part-time). Dependent on the position offered, incentive plans, bonuses, and/or other forms of compensation may be offered, in addition to a range of health and welfare and/or other benefits. Apply To This Job