North Carolina Licensed Case Manager

As a patient advocate, the remote Reimbursement Case Manager will manage patient eligibility, provide inbound and outbound phone support to patients and healthcare providers, and coordinate access to specialty pharmaceuticals while ensuring a positive patient experience. Key responsibilities Oversee and coordinate caseload to ensure timely completion of case elements and tasks Act as the single point of contact for prior authorization and appeal processing communications Assess patient benefits and refer patients to special programs/services as needed Required qualifications Bachelor's degree or six years of relevant working experience Two or more years of relevant experience in pharmacy benefit management preferred Experience as a Medical Assistant, Social Worker, or Senior Reimbursement Specialist preferred Proficiency in Microsoft Office applications Knowledge of medical and claims processing terminology