Case manager Job at Randstad, United States

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  • Randstad
  • United States

Job Description

Are you a compassionate, detail-oriented healthcare professional ready for a rewarding remote opportunity? We are seeking dedicated individuals to join our team as Patient Access Coordinators! In this high-impact role, you will help patients remove barriers to care so they can access, afford, and remain on the specialty therapies they need for a better quality of life.

Working comfortably from your dedicated home office, you will serve as a vital guide for patients, providers, and specialty pharmacies. Our centralized patient support environment leverages advanced technologies to streamline onboarding and coverage verification. If you excel at navigating complex insurance landscapes, possess strong empathy, and thrive in a collaborative environment, this role offers the perfect platform to make a meaningful difference every single day.

salary: $19.99 - $20 per hour
shift: First
work hours: 8 AM - 5 PM
education: Bachelors

Responsibilities

Position Summary:

Manage the patient care journey from initial intake to medication delivery. Conduct benefit verifications, assist with prior authorizations, and guide patients through insurance coverage options to ensure timely access to specialty therapies.

Key Responsibilities:

  • Handle inbound and outbound calls from patients, providers, and specialty pharmacies with a one-call resolution mindset.
  • Conduct benefit verifications and navigate Medicare, Medicaid, and Commercial insurance guidelines.
  • Assist with obtaining prior authorizations, appeals requirements, and out-of-pocket cost guidance.
  • Process patient enrollments via phone, fax, and electronic portals accurately.
  • Thoroughly review documentation for missing information and update tracking databases.
Requirements:

  • 2-4 years of industry experience with patient-facing or high-touch customer support.
  • High School Diploma or equivalent.
  • Dedicated home workspace with hardwired high-speed internet (15 Mbps download / 5 Mbps upload minimum).
  • strong computer literacy including data entry and MS Office software proficiency.
  • Preferred: Previous Hub or Patient Support Services experience and knowledge of Medicare (A, B, C, D) policies.

Skills
  • Decision Making
  • Answering Phones
  • Maintaining Calendars
  • Microsoft Office
Qualifications
  • Years of experience: 4 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, Remote work, Home office, Shift work

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