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Job Requirements of Case Manager:
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Employment Type:
Full-Time
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Location:
Texas, US (Onsite)
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Case Manager
Job Title: Case Manager
Pay Rate: $21/hour – Paid Weekly!
Location: 100% Remote
Schedule: Contract to hire | 8-hour shift between 7 AM – 7 PM CST
Training: Virtual, Mon–Fri, 8 AM – 5 PM CST for 4–6 weeks (no time off during training)
About the Role:
This role supports specialty pharmaceutical manufacturers in helping patients access life-changing therapies faster. As a Case Manager, you’ll guide patients from benefit verification through medication delivery and working closely with providers, pharmacies, and insurance companies to remove barriers to care.
Key Responsibilities:
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Monitor system accounts for new patient cases and manage them from initial contact through final approval or denial.
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Conduct outbound calls to confirm insurance coverage, co-pays, and specialty pharmacy details with patients.
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Contact insurance companies to obtain and document accurate benefit information.
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Mediate and resolve complex payer or pharmacy issues to achieve positive outcomes.
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Maintain empathetic, professional communication with patients, providers, and physician offices.
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Answer and resolve patient questions regarding the status of their requests for assistance.
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Enter detailed case notes in proprietary software while speaking with patients or healthcare staff.
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Research alternative funding options and determine patient eligibility.
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Identify, document, and compliantly submit Adverse Events when applicable.
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Provide updates to team members and leadership on case progress.
What We’re Looking For:
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Healthcare, insurance, or pharmaceutical industry experience – preferred
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Pharmacy Benefits Management (PBM) experience with Medicare, Medicaid, and commercial payer policies – preferred
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Prior authorization and appeals experience – highly desired
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Strong Microsoft Office and data entry skills
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Ability to type 40+ WPM while talking to patients
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Excellent communication and problem-solving skills
Remote Requirements:
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Quiet, private workspace
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Hardwired high-speed internet (15 Mbps download / 5 Mbps upload)