Job Description
Are you a detail-oriented healthcare professional looking for an exciting work-from-home opportunity? We are seeking dedicated Case Managers to join a high-impact team! In this role, you will deliver personalized, compassionate support to patients, healthcare providers, and physician offices.
Working from the comfort of your home workspace on a flexible daytime schedule, you will play a crucial role in patient access. You will monitor system accounts, verify insurance benefits, conduct outbound calls regarding coverage approvals or denials, and mediate complex payer issues to ensure positive patient outcomes. If you bring strong communication capabilities, proficient computer skills, and a passion for navigating pharmacy benefits, this position offers a rewarding way to advance your career.
salary: $19.98 - $20 per hour
shift: First
work hours: 8 AM - 5 PM
education: High School
Responsibilities
Position Summary: Manage patient accounts, verify insurance coverage, resolve payer/pharmacy issues, and guide patients through every step of their medical assistance requests.
Key Responsibilities: - Conduct outbound calls to confirm coverage approvals, co-pays, and specialty pharmacy details.
- Contact insurance carriers to obtain and enter accurate benefit information.
- Resolve complex payer and pharmacy issues to secure positive outcomes.
- Document detailed notes in proprietary software while conversing with customers.
- Research alternative funding and foundations to determine patient eligibility.
Requirements: - High School Diploma or equivalent required.
- 1+ years of healthcare, pharmacy benefits management, or prior authorization experience.
- Minimum typing speed of 40 WPM with strong accuracy while on calls.
- Dedicated home workspace with hardwired high-speed internet.
Skills
- Microsoft Office
- Scheduling Appointments
- Problem Solving
Qualifications
- Years of experience: 2 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 HRsupport@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.
Job Tags
Hourly pay, Permanent employment, Temporary work, Work experience placement, Work at office, Work from home, Flexible hours, Shift work