Case Manager

Duties • Monitor system accounts for new Patient cases • Conduct outbound calls to patients to confirm approval/denials of coverage, co-pays and verification of specialty pharmacies dispensing medication(s) • Contact insurance companies as required to obtain / enter accurate benefit information related to patient coverage • Mediate effective resolution for complex payer/pharmacy issues toward a positive outcome • Maintain quality while providing an empathetic and supportive experience to the patients, providers, and physician offices • Resolve patient's questions and concerns regarding status of their request for assistance • Enter detailed information into company proprietary software while conversing via telephone • Steward patient accounts from initial contact through final approval/denial • Process all patient applications in accordance to set policy, procedures, and PHI compliance • Works with / provides updates to team members and leadership on patients’ cases • Ability to identify, document and compliantly submit Adverse Events during customer contact or via received documentation • Conduct research associated with alternative funding / foundations to determine patient eligibility to receive product • Effectively applies knowledge of job and company policies and procedures to complete a variety of assignments • Applies advanced skills to resolve complex problems independently • Works independently within established procedures Skills: • Ability to multitask, utilizing specific software programs while speaking with patients and/or healthcare staff. • Ability to type a minimum of 40 WPM. • Ability to transcribe (type) accurate notes while speaking to customer. • Microsoft Products experience required. • Ability to navigate video conferencing tools such as Microsoft Teams and Zoom. • video conferencing experience. • Must have the ability to work via video conferencing as required by leadership. • Organized with the ability to prioritize multiple, concurrent assignments and work with a sense of urgency • Exceptional communication skills both verbally and written • attention-to-detail and quality documentation

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

Responsibilities

• Monitor system accounts for new Patient cases
• Conduct outbound calls to patients to confirm approval/denials of coverage, co-pays and verification of specialty pharmacies dispensing medication(s)
• Contact insurance companies as required to obtain / enter accurate benefit information related to patient coverage
• Mediate effective resolution for complex payer/pharmacy issues toward a positive outcome
• Maintain quality while providing an empathetic and supportive experience to the patients, providers, and physician offices
• Resolve patient's questions and concerns regarding status of their request for assistance

Skills

• multitask
• Type 40 WPM
• Microsoft Teams and Zoom

Qualifications

• Years of experience: 0 years
• Experience level: Experienced

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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.