Case Manager

Job Summary We are seeking dedicated Patient Support Specialists for a 100% remote opportunity with a leading healthcare solutions organization. In this role, you will be the vital link between patients, providers, and insurance companies, ensuring individuals can successfully access their essential specialty medications. Save time and money by ditching the commute and working from your own home office while making a real difference in patients' lives. You will mediate complex pharmacy and payer issues, verify insurance coverage, and steward patient accounts from initial contact to final approval to ensure individuals quickly obtain the therapy they need. Key Responsibilities • Conduct outbound calls to patients and insurers to confirm coverage, benefits, and pharmacy details. • Mediate and resolve complex payer/pharmacy issues for positive patient outcomes. • Process patient applications in strict adherence to policies and PHI compliance. • Document adverse events and research alternative funding or foundation eligibility. • Accurately type detailed notes into proprietary software while actively conversing via telephone. Requirements • High School diploma required; previous healthcare, prior authorization, or pharmacy benefits experience highly preferred. • Type a minimum of 40 WPM with MS Office and video conferencing (Teams/Zoom) skills. • Empathetic, highly organized self-starter capable of managing multiple concurrent assignments.

salary: $19.99 - $20 per hour
shift: First
work hours: 7 AM - 4 PM
education: High School

Responsibilities

• Conduct outbound calls to patients and insurers to confirm coverage, benefits, and pharmacy details.
• Mediate and resolve complex payer/pharmacy issues for positive patient outcomes.
• Process patient applications in strict adherence to policies and PHI compliance.
• Document adverse events and research alternative funding or foundation eligibility.
• Accurately type detailed notes into proprietary software while actively conversing via telephone.

Skills

• multitask
• speaking with patients
• Type 40 WPM

Qualifications

• Years of experience: 0 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 randstadusa.com.

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.