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Reimbursement Case Manager (Pharmacy) | WFH
CornerStone Staffing • Remote • Posted 5 days ago via ZipRecruiter
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Remote • Full-time • $18.00-$23.00/hr • Mid Level
Job Highlights
Using AI ⚡ to summarize the original job post
Join a dynamic team dedicated to helping patients access essential specialty products and services as a Reimbursement Case Manager. This role involves acting as the main point of contact for patients and providers, coordinating access to therapies, managing patient information, and performing reimbursement activities. The position requires 3+ years of experience in specialty pharmacy, insurance, or healthcare, proficiency in MS Word, Excel, and HIPAA regulations, and strong communication skills.
Responsibilities
- Act as the main point of contact for patients and providers, providing compassionate support.
- Coordinate access to therapies and follow up on support services.
- Manage patient information, validate records, and assist with applications.
- Perform reimbursement activities, such as benefit investigations and prior authorizations.
- Provide excellent customer service and adhere to HIPAA regulations.
- Report Adverse Events and collaborate with internal teams.
Qualifications
Required
- 3+ years of experience in specialty pharmacy, insurance, or healthcare
- 3+ years of experience in reimbursements
- Proficiency in MS Word, Excel, and knowledge of HIPAA
- High School Diploma or equivalent (GED)
- Criminal Background & Drug Screening
- 2 verifiable employment references
Preferred
- Bachelor’s Degree
About CornerStone Staffing
CornerStone Staffing is a top recruitment agency in the DFW and Phoenix areas, specializing in connecting job seekers with companies. They offer temporary, temporary-to-hire, and professional placement services to match talent with the right opportunities. With a team of experienced recruiters, they provide industry-leading consultation on hiring strategies to both job seekers and employers.
Full Job Description
Job Description
Join a dynamic team dedicated to helping patients access essential specialty products and services. If you have 3+ years of experience in specialty pharmacy, insurance, or healthcare, strong communication skills, and proficiency in MS Word, Excel, and HIPAA regulations, apply today!
Job Title: Reimbursement Case Manager
Location: WFH/Remote | AZ/TX/FL/GA/SC/NC/IN/KY residents only
Pay: $18.00 - $23.00/hourly (based on experience)
Schedule: Monday - Friday + Occasional Saturdays | 8:00am – 8:00pm EST | Shift between those hours
Job Responsibilities:
- Act as the main point of contact for patients and providers, providing compassionate support.
- Coordinate access to therapies and follow up on support services.
- Manage patient information, validate records, and assist with applications.
- Perform reimbursement activities, such as benefit investigations and prior authorizations.
- Provide excellent customer service and adhere to HIPAA regulations.
- Report Adverse Events and collaborate with internal teams.
Ideal Candidate:
- 3+ years of experience in specialty pharmacy, insurance, or healthcare REQUIRED.
- 3+ years of experience in reimbursements REQUIRED.
- Proficiency in MS Word, Excel, and knowledge of HIPAA REQUIRED.
- Bachelor’s Degree preferred.
- Strong communication, multitasking, and problem-solving skills.
On-boarding Requirements:
- High School Diploma or equivalent (GED)
- Criminal Background & Drug Screening
- 2 verifiable employment references
Please read requirements carefully as we are prioritizing those that meet the requirements.
To Apply for this Job: Click the Apply Online button, then:
- If you are currently registered with CornerStone Staffing, click the Log In button to add yourself as a candidate to this job - NOTIFY YOUR RECRUITER OF INTEREST IN JOB ORDER: 147214.
- If you are NOT currently registered with CornerStone Staffing, click the Create Account button to complete the application - then schedule a time with a recruiter LINK TO SCHEDULE: snshqsc.co/phT7S4
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CornerStone currently has 11 offices across the Metroplex to serve your needs. If you are a job seeker looking for short-term supplemental income or a full-time position that will launch a new career, we can assist you in finding the right opportunity!
Company Description
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