Case Manager

Are you an empathetic, driven healthcare professional looking for a high-impact, fully remote opportunity? We are seeking dedicated Patient Access Case Managers to join our dynamic team! In this essential role, you will help patients navigate their care journey, ensuring they can access, afford, and maintain the specialty medication therapies they need for a better quality of life.

Working from the comfort of your dedicated home office, you will serve as a compassionate guide for patients, providers, and insurance companies. You will manage patient cases from initial contact through coverage approval, handle benefit verifications, and resolve complex reimbursement questions. If you thrive on providing empathetic support, possess sharp attention to detail, and excel at multi-tasking in a fast-paced environment, this contract role offers the perfect platform to make a meaningful difference every day.

salary: $19.99 - $20 per hour
shift: First
work hours: 8 AM - 5 PM
education: High School

Responsibilities

Position Summary:

Manage patient cases from initial contact to coverage approval. Conduct outbound calls to patients and insurance carriers, perform benefit verifications, resolve complex payer issues, and guide patients through financial assistance options to ensure timely access to specialty medications.

Key Responsibilities:

• Monitor system accounts for new cases and steward patient accounts through final coverage determination.

• Perform outbound calls to patients to confirm coverage approvals/denials, co-pays, and dispensing specialty pharmacy details.

• Contact insurance companies to verify coverage, enter benefit information, and assist with prior authorizations.

• Resolve patient questions regarding program assistance, alternative funding, and foundation support.

• Accurately transcribe detailed case notes into internal software while conversing on the phone.

Requirements:

• High School Diploma or GED required (additional education or degree preferred).

• Minimum typing speed of 40 WPM with real-time phone transcription skills.

• Proficiency in MS Office Suite, video conferencing tools (Zoom, Teams), and web navigation.

• Dedicated home office with hardwired high-speed internet (15 Mbps download / 5 Mbps upload minimum).

• Preferred: Previous healthcare experience in pharmacy benefits, Medicare/Medicaid/Commercial plans, or prior authorizations.

Skills

• Scheduling Appointments
• Microsoft Office
• Google for Business Suite
• Decision Making

Qualifications

• Years of experience: 2 years
• Experience level: Experienced

Randstad is a world leader in matching great people with great companies. Our experienced agents will listen carefully to your employment needs and then work diligently to match your skills and qualifications to the right job and company. Whether you're looking for temporary, temporary-to-permanent or permanent opportunities, no one works harder for you than Randstad.

Equal Opportunity Employer: Race, Color, Religion, Sex, Sexual Orientation, Gender Identity, National Origin, Age, Genetic Information, Disability, Protected Veteran Status, or any other legally protected group status.

At Randstad, we welcome people of all abilities and want to ensure that our hiring and interview process meets the needs of all applicants. If you require a reasonable accommodation to make your application or interview experience a great one, please contact View email address on us.fitly.work.

Pay offered to a successful candidate will be based on several factors including the candidate's education, work experience, work location, specific job duties, certifications, etc. In addition, Randstad offers a comprehensive benefits package, including: medical, prescription, dental, vision, AD&D, and life insurance offerings, short-term disability, and a 401K plan (all benefits are based on eligibility).

This posting is open for thirty (30) days.

It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.