Remote Case Manager

Location: Atlanta
Posted on: June 23, 2025

Job Description:

Job Title: Remote Case Manager Pay: $20.00 an hr | Bi-weekly Job Type: Remote Shift Options: Your new hire training will take place M-F 8:00am-5:00pm CST, mandatory virtual attendance is required. Must attend 100% of training and pre-planned appointments/time off will not be accepted. This position is full-time (40 hours/week). 8:00am-5:00pm CST work schedule to be followed once training is complete. Start date: 09/08/25 Remote Case Manager Overview: Manage the entire care process with a sense of urgency from benefit investigation and verification to medication delivery, ensuring an exceptional patient experience · Conduct benefit verifications and collaborate with various healthcare providers, including physicians, specialty pharmacies, and insurance companies, to ensure seamless coordination of patient care and timely access to necessary services · Assist in obtaining insurance, prior authorization, and appeal requirements and outcomes · Help patients understand their insurance plan coverage, including out-of-pocket costs, and provide guidance on the appeals process if needed · Resolve patient's questions and any representative for the patient’s concerns regarding status of their request for assistance · Demonstrate expertise in payer landscapes and insurance processes. Remain knowledgeable about long and short-range changes in the reimbursement environment including Medicare, Medicaid, Managed Care, and Commercial medical and pharmacy plans while planning for various scenarios that may impact prescribed products · Process enrollments via fax, phone, and electronically as needed · Scrutinize forms and supporting documentation thoroughly for any missing information or new information to be added to the database · Support inbound phone quue from patients, healthcare provider offices, SPs, and customers, striving for one-call resolution

Keywords: , Macon , Remote Case Manager, Healthcare , Atlanta, Georgia