A-Line Staffing is seeking a motivated and detail-oriented Case Manager - Benefit Investigation. This role offers career growth, a supportive work environment, and full-time hours (40+ per week).

If interested in this Case Manager - Benefit Investigation position APPLY NOW for IMMEDIATE consideration

Brittney Blackman | bblackman@alinestaffing.com | text 5867107970

Case Manager - Benefit Investigation | Details and Compensation:

• Location: Remote
• Payrate: $20/hr
• Required Availability: Monday – Friday, 8:00 AM – 5:00 PM CST | Sept Start Date

Case Manager - Benefit Investigation | Summary and Highlights:

The Case Manager - Benefit Investigation will support patients through the benefit investigation process and beyond, helping them gain access to essential specialty therapies. You’ll be the go-to support for patients, providers, and pharmacies—helping navigate insurance hurdles and ensure timely delivery of medications.

• This position is a contract assignment with potential to hire on permanently based upon attendance, performance, and business needs
• Benefits are available to full-time employees after 90 days of employment and include health, optical, dental, life, and short-term disability insurance
• A 401(k) with a company match is available for full-time employees with 1 year of service on our eligibility dates

Case Manager - Benefit Investigation | Responsibilities:

• Manage the entire care journey, from benefit investigation to medication delivery.
• Conduct benefit verifications and collaborate with healthcare providers, pharmacies, and payers.
• Assist with obtaining prior authorizations and appeals as needed.
• Help patients understand their coverage, including out-of-pocket responsibilities.
• Respond to questions from patients, providers, and stakeholders.
• Process enrollments via phone, fax, and electronic systems.
• Review documents for accuracy and completeness.
• Handle inbound calls, aiming for one-call resolution.
• Stay up-to-date with Medicare, Medicaid, and commercial payer policies.

Case Manager - Benefit Investigation | Requirements:

• Education: High school diploma or equivalent.
• Attendance: Commitment to mandatory attendance during the first 90 days.
• 2+ years of experience in a high-touch, customer-facing role.
• Excellent communication and problem-solving skills.
• Strong computer proficiency (data entry, MS Office).
• Prior experience in a Hub or Patient Support Services role.
• Knowledge of Medicare (A, B, C, D), Medicaid, and commercial insurance policies required.
• Familiarity with specialty pharmacy or healthcare reimbursement.
• Understanding of medication adherence challenges.

Remote Work Requirements:

• Must reside within the United States
• Dedicated, distraction-free work environment
• High-speed, hardwired internet connection required:
  • Minimum download speed: 15 Mbps
  • Minimum upload speed: 5 Mbps
  • Maximum ping rate: 30ms
  • Wi-Fi, satellite, cellular, or dial-up connections are not acceptable
• Ability to use employer-provided computer and tech equipment, including a surge protector with network line protection

Take the Next Step!

Join a company that values your growth and contributions. If you’re interested in the Case Manager - Benefit Investigation role apply now or contact us for immediate consideration!

Brittney Blackman | bblackman@alinestaffing.com | text 5867107970