Case Manager Remote
Job Description
Case Manager (Remote) — Lewisville, TX - Call Holly to apply 586-710-7980
Location: Remote (Lewisville, TX)
Schedule: Full-time, 40 hrs/week. Assigned 8-hour shift between 7:00 AM–7:00 PM CST. Training is Monday–Friday 8:00 AM–5:00 PM CST for 4–6 weeks (camera required).
Pay: Not listed
Summary
Now hiring a remote Case Manager to support patient cases from intake through approval/denial outcomes. This Case Manager role focuses on outbound patient calls, benefits verification support, payer/pharmacy issue resolution, documentation, and compliance (PHI). Ideal for candidates with healthcare insurance experience, pharmacy benefits, prior authorization, appeals, or patient access support.
Responsibilities
- Monitor queues for new patient cases and manage case progression
- Call patients to confirm approvals/denials, copays, and pharmacy dispensing details
- Contact insurers to obtain and update benefit information
- Resolve payer/pharmacy issues and document outcomes clearly
- Maintain patient/provider support with empathy and professionalism
- Identify and submit adverse events compliantly when applicable
- Research potential funding/foundation support options when needed
Qualifications
- High School Diploma/GED (required); additional education a plus
- Healthcare insurance, patient access, PBM, prior authorization, or appeals experience (preferred)
- Strong documentation, communication, and multitasking skills
- Strong computer skills and comfort using CRM/proprietary systems
- Remote readiness: quiet private workspace; hardwired broadband internet required
- Application requirement: laptop/desktop + Google Chrome; plan 20–30 minutes to apply
Job Requirements
Qualifications
- High School Diploma/GED (required); additional education a plus
- Healthcare insurance, patient access, PBM, prior authorization, or appeals experience (preferred)
- Strong documentation, communication, and multitasking skills
- Strong computer skills and comfort using CRM/proprietary systems
- Remote readiness: quiet private workspace; hardwired broadband internet required
- Application requirement: laptop/desktop + Google Chrome; plan 20–30 minutes to apply