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Medicare, Medicaid experience required

171353 Patient Care Manager

Pay Rate: $20.00 per hour

Assignment Dates: 09/08/2026 – 02/26/2027

Position Type: Temporary-to-Permanent (opportunity to extend and/or convert to a permanent position based on business needs and performance)

Position Overview

The Remote Care Manager is responsible for supporting patients throughout the healthcare access process by coordinating benefit investigations, insurance verification, prior authorizations, appeals support, medication access, and patient assistance services. This position serves as a key liaison between patients, healthcare providers, specialty pharmacies, insurance companies, and other stakeholders to ensure timely access to prescribed therapies and an exceptional patient experience.

Key Responsibilities

• Receive inbound and outbound calls from patients, healthcare provider offices, specialty pharmacies, and customers while striving for first-call resolution.
• Manage the entire patient care process from benefit investigation and verification through medication delivery.
• Conduct benefit verifications and collaborate with physicians, specialty pharmacies, insurance carriers, and healthcare providers to coordinate patient care.
• Assist with obtaining insurance requirements, prior authorizations, appeals, and coverage determinations.
• Educate patients regarding insurance coverage, out-of-pocket expenses, and available appeal processes.
• Resolve patient questions and concerns regarding assistance requests and case status updates.
• Maintain expertise in reimbursement processes and payer landscapes.
• Stay informed on Medicare, Medicaid, Managed Care, and Commercial Medical and Pharmacy benefit plans.
• Process patient enrollments received by fax, telephone, and electronic submission methods.
• Review enrollment forms and supporting documentation for completeness and accuracy.
• Identify missing information and ensure accurate database updates.
• Maintain high-quality service standards while managing multiple patient cases.
• Provide compassionate support and guidance throughout the patient journey.
• Accurately document all case activity and communications.

Required Qualifications

Education: High School Diploma or equivalent preferred.

Industry Experience: 2–4 years of industry experience with patient-facing or high-touch customer interaction experience preferred.

Patient Support Experience: Previous Hub Services or Patient Support Services experience preferred.

Insurance Knowledge: Knowledge of Medicare (Parts A, B, C, and D), Medicaid, and Commercial payer policies and coverage guidelines preferred.

Pharmaceutical Knowledge: Strong understanding of pharmaceutical therapies, disease states, and medication adherence challenges preferred.

Training Information

Training Schedule: 8:00 AM – 5:00 PM CST

Training Requirement: Mandatory on-camera attendance throughout training.

Work Schedule Hours: Full-time, 40 hours per week.

Availability Requirement: Must be flexible to work any assigned shift during normal business hours.

Business Hours: Monday through Friday, 7:00 AM – 8:00 PM CST.

Remote Work Requirements

Work Environment: Dedicated, quiet, private, and distraction-free workspace required.

Equipment: Company-provided computer, technology, and equipment supplied.

Internet Requirement: Employee is responsible for maintaining qualifying high-speed internet service.

Connection Type: DSL, Cable, or Fiber only.

Save Your Screenshot Results: Check speed here: https://www.speedtest.net/

Download Speed: Minimum 15 Mbps.

Upload Speed: Minimum 5 Mbps.

Ping Rate: Maximum 30 ms.

Network Requirement: Hardwired connection directly to router.

Equipment Protection: Surge protector with network line protection required for company-issued equipment.

Benefits

• Benefits are available to full-time employees after 90 days of employment.
• A 401(k) with company match is available after 1 year of service.

INDKS