Medical Case Manager

Medical Case Manager Medix•3.7 Maitland, FL Job Details Contract $20•$23 an hour 11 hours ago Benefits Disability insurance Health insurance Dental insurance 401(k) Vision insurance Life insurance Paid sick time Qualifications Insurance prior authorization Achieving HIPAA compliance Caseload management Maintaining patient confidentiality HIPAA High school diploma or GED Productivity software

Full Job Description Job Title:

Medical Case Manager Job Details Location:

Maitland, Florida 32751

Work Location:

Fully Onsite, Monday-Friday Job Type:

Contract to

Hire Pay Range:

$20•23/hour Job Description Are you ready to give your career a boost by bringing your talents and expertise to some of the nation's top companies? At Medix, we are dedicated to creating opportunities for talent through our Healthcare, Scientific and Information Technology divisions. Our dedicated recruiters offer a personalized service to make sure we truly understand your employment needs.

Responsibilities:

This role is responsible for managing patient cases from referral through triage, ensuring timely coordination of benefits, prior authorizations, and prescription transfers to specialty pharmacies. The position serves as a key liaison between patients, medical offices, insurance providers, and internal teams, delivering high-quality support, accurate documentation, and effective communication throughout the patient journey. Manage cases end-to-end, including benefit verification, prior authorization support, and triage to specialty pharmacies Coordinate prescription transfers based on established triage guidelines Communicate with insurance providers to verify pharmacy and medical benefits Collaborate with medical offices (MDOs) to obtain and confirm patient information Support prior authorizations and appeals processes as needed Serve as primary point of contact for inbound calls, case inquiries, and follow-ups Document case activity accurately within system tools Provide information on financial assistance and funding options Partner with internal teams and manufacturer representatives to ensure alignment on patient care Troubleshoot and resolve complex or escalated cases Maintain compliance with HIPAA and confidentiality standards

Minimum Education:

High school diploma or

GED Experience Qualification Requirements:

2+ years of direct, end-to-end ownership of benefit investigations and prior authorizations (payer outreach, documentation follow-up, approvals) 1+ year of specialty pharmacy experience Ability to independently manage and drive cases to resolution Proficient in Microsoft Office and case management tools; HIPAA compliant

Schedule/ Shift:

Must be flexible to work any 8-hour shift, Monday-Friday between 8am-8pm

Benefits:

Paid Sick Leave (Medix provides paid sick leave according to state and local sick leave ordinances) Health Benefits / Dental / Vision ( Medix Offers 6 different health plans: 3 Major Medical Plans, 2 Fixed Indemnity Plans (Standard and Preferred), and 1 Minimum Essential Coverage (MEC) Plan. Eligibility for health benefits is based on verifying that an average of 30 hours per week during the first 4 weeks of the work assignment has been met. If you meet eligibility requirements and take action to enroll, you will be covered no earlier than 60 days into your assignment, depending on plan selection(s).) 401k (eligible on the first 401k open enrollment date following 6 consecutive months on assignment. 401k Open Enrollment dates are 1/1, 4/1, 7/1, and 10/1)

Short Term Disability Insurance Term Life Insurance Plan For California Applicants:

We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance (FCIHO), Los Angeles Fair Chance Ordinance for Employers (ULAC), The San Francisco Fair Chance Ordinance (FCO) , and the California Fair Chance Act (CFCA). This position is subject to a background check based on its job duties, which may include patient care, working with vulnerable populations, access to financial and confidential information, driving, working with heavy machinery, or working in a warehouse or laboratory environment. Due to these job duties, this position has a significant impact on the business operations and reputation, as well as the safety and well-being of individuals who may be cared for as part of the job position or who may interact with staff or clients.