We are seeking a dedicated Patient Assistance & Co-Pay Reimbursement Case Manager to join our team for a temporary contract project. In this role, you will provide critical financial navigation and case management support for specialty pharmaceutical therapies. You will work directly with patients, healthcare providers, specialty pharmacies, and hub teams to remove financial barriers, clear prior authorizations, and secure access to co-pay savings and charitable foundation assistance.

Contract Details & Location Requirements Location & Equipment:

Remote, but candidates must reside within 50 miles of 3301 Airport Freeway, Bedford, TX 76021. In-person equipment pickup and drop-off at this location is required at the beginning and end of the assignment.

Duration:

Temporary Contract (Beginning December through March, with potential extension based on business needs).

Shift/Schedule:

Monday-Friday; must be available to work any 8-hour shift between 7:00 AM

•7:00 PM CST.

Paid Training:

December 7th

•December 11th (Monday-Friday, 8:00 AM

•5:00 PM CST).

Orientation:

Mandatory remote orientation session in late November.

Attendance Policy:

High-reliability requirement; no time off is permitted during the contract period (pre-planned single medical appointments may be accommodated with advance notice).

Key Responsibilities Financial Access Support:

Perform high-volume inbound and outbound calls to patients and healthcare provider offices to deliver real-time updates on benefit investigations, prior authorizations, co-pay card options, and Patient Assistance Program (PAP) coverage.

Patient Advocacy:

Serve as the primary point of contact for patients and healthcare teams navigating complex insurance processes, free-goods initiatives, and charitable foundation funding.

Case Processing:

Manage a task-based caseload of 20-28 cases daily, accurately reviewing financial documentation, verifying income eligibility, and updating records in real time.

Eligibility & Enrollment:

Evaluate patient financial eligibility and facilitate seamless enrollment into manufacturer co-pay programs, assistance grants, and safety-net solutions.

Empathetic Communication:

Provide professional, compassionate support to patients experiencing stress related to their treatment and financial requirements.

Compliance & Data Integrity:

Maintain complete, audit-ready interaction records within the case management system, strictly adhering to HIPAA guidelines and corporate compliance standards.

Required Qualifications Experience:

2+ years of experience in insurance coordination, prior authorization, or pharmacy benefits.

Domain Knowledge:

Strong working knowledge of pharmacy benefits, Medicare Part D, prior authorization workflows, and payer processes.

Pharmacy Background:

Pharmacy Technicians with payer or Pharmacy Benefit Manager (PBM) experience are encouraged to apply (retail-only pharmacy experience does not qualify).

Program Experience:

Hands-on experience with co-pay programs, patient assistance programs (PAP), or specialty reimbursement.

Workspace Requirements:

A quiet, private, HIPAA-compliant home office workspace.

Technical Skills:

Proficiency in basic Microsoft Office programs and case management data entry.

Education:

High School Diploma or GED required.

Credentialing:

Ability to pass a mandatory program credentialing assessment during the assignment. Preferred Qualifications Prior experience as a Reimbursement Case Manager (RCM) or Hub Case Manager. Key Attributes for Success Excellent critical thinking and independent problem-solving capabilities. Ability to thrive in a fast-paced, high-volume, and metrics-driven environment. Outstanding verbal and written communication skills with strong active listening abilities.

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.