Remote Case Manager Position Available In DeKalb, Georgia

Job Description:

Job Title:

Remote Case Manager Pay:

$20.00 an hr |

Bi-weekly JobType:

Remote Shift Options:

Your new hire training will take placeM-F 8:00am-5:00pm CST, mandatory virtual attendance is required.

Must attend 100% of training and pre-planned appointments/time offwill not be accepted. This position is full-time (40 hours/week).8:00am-5:00pm CST work schedule to be followed once training iscomplete.

Start date:

09/08/25

Remote Case Manager Overview:

Managethe entire care process with a sense of urgency from benefitinvestigation and verification to medication delivery, ensuring anexceptional patient experience

• Conduct benefit verifications andcollaborate with various healthcare providers, includingphysicians, specialty pharmacies, and insurance companies, toensure seamless coordination of patient care and timely access tonecessary services
• Assist in obtaining insurance, priorauthorization, and appeal requirements and outcomes
• Help patientsunderstand their insurance plan coverage, including out-of-pocketcosts, and provide guidance on the appeals process if needed
• Resolve patient’s questions and any representative for thepatient’s concerns regarding status of their request for assistance
• Demonstrate expertise in payer landscapes and insuranceprocesses. Remain knowledgeable about long and short-range changesin the reimbursement environment including Medicare, Medicaid,Managed Care, and Commercial medical and pharmacy plans whileplanning for various scenarios that may impact prescribed products
• Process enrollments via fax, phone, and electronically as needed
• Scrutinize forms and supporting documentation thoroughly for anymissing information or new information to be added to the database
• Support inbound phone quue from patients, healthcare provideroffices, SPs, and customers, striving for one-call resolution