Job Title: Case Manager
Pay Rate: $20.00/hour | Weekly Pay
Location: 100% Remote (U.S. Residents Only)
Schedule: Monday to Friday | 7:00 AM - 7:00 PM CST 
Training: 8:00 AM – 5:00 PM CST for 4–6 weeks

Opportunity Overview:

We are seeking experienced and compassionate Case Managers to support patients in navigating access to specialty therapies. In this role, you'll engage with patients, healthcare providers, and insurance companies to verify benefits, resolve coverage issues, and ensure timely access to medications. You'll also help patients understand their program status and support them throughout their journey. This is a fully remote, full-time opportunity with equipment provided.

Key Responsibilities:

• Monitor system queues and manage newly assigned patient cases
• Conduct outbound calls to patients regarding coverage approvals/denials, co-pays, and pharmacy coordination
• Contact insurance providers to verify and update benefit coverage information
• Investigate and resolve complex insurance or pharmacy-related issues
• Provide empathetic, professional support to patients, healthcare providers, and physician offices
• Accurately enter detailed notes into internal proprietary systems while on calls
• Manage patient cases from initial contact through final resolution (approval or denial)
• Ensure all cases are processed in compliance with established policies, procedures, and HIPAA standards
• Collaborate with internal teams and leadership for case updates and resolutions
• Identify and document Adverse Events when applicable
• Research alternative funding or financial assistance programs to support patients
• Apply advanced knowledge to resolve cases independently within established workflows

Skills & Qualifications

Technical & Functional Skills:

• Ability to multitask effectively while using internal platforms during patient calls
• Minimum typing speed of 40 WPM with accurate data entry skills
• Strong proficiency with Microsoft Office tools (Outlook, Word, Excel)
• Experience using video conferencing platforms (Microsoft Teams, Zoom)
• Skilled in navigating CRM and proprietary software systems
• Ability to work independently and efficiently in a remote, high-volume environment

Soft Skills:

• Exceptional verbal and written communication skills
• Friendly, empathetic, and patient-centric approach
• Excellent attention to detail and thorough documentation practices
• Organized with the ability to prioritize multiple, concurrent tasks
• Self-motivated with a strong work ethic and team-oriented mindset
• Eagerness to learn and grow into leadership or senior-level roles
• Reliable attendance and punctuality required

Education & Preferred Experience:

• High School Diploma or GED required; additional education preferred
• Previous healthcare, insurance, or pharmaceutical industry experience strongly preferred
• Experience with pharmacy benefit management, prior authorizations, and appeals highly desired
• Familiarity with Medicare, Medicaid, and commercial payer practices is a plus

Remote Work Requirements:

• Dedicated, quiet, and distraction-free home workspace
• Company-provided computer and equipment
• High-speed, hardwired internet connection required:

• Download speed: Minimum 15 Mbps

• Upload speed: Minimum 5 Mbps

• Ping rate: Maximum 30 ms
  • Note: WiFi, satellite, dial-up, or cellular connections are not permitted
  • Surge protector with network line protection required for company equipment
  
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