<p> Job Title: Case Manager<br />
Pay: $20.00/hour | Weekly Pay<br />
Location: 100% Remote (U.S. residents only)<br />
Start Date: October 2026<br />
Schedule: Monday to Friday | Must be available for any 8-hour shift between 7AM to 8PM CST (shift assigned)<br />
Training: Mandatory virtual onboarding | 8AM–5PM CST with required attendance</p>
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<p> Opportunity Overview:<br />
Join a leading healthcare services organization supporting patients throughout their treatment journey! As a Case Manager, you will coordinate patient care by assisting with benefit verification, insurance requirements, medication access, and ongoing support. You will work closely with patients, healthcare providers, specialty pharmacies, and insurance partners to help ensure patients receive timely access to the therapies and resources they need. This fully remote opportunity allows you to make a meaningful impact by improving the patient experience and helping remove barriers to care.</p>
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<p> Responsibilities:<br />
Handle inbound and outbound calls from patients, healthcare providers, specialty pharmacies, and other stakeholders while providing timely resolutions<br />
Manage the patient care process from benefit investigation and verification through medication access and delivery coordination<br />
Conduct insurance benefit verifications and collaborate with providers, pharmacies, and insurance companies to support patient access<br />
Assist with insurance requirements, prior authorizations, appeals, and related documentation<br />
Educate patients on insurance coverage, out-of-pocket costs, and available support options<br />
Resolve patient inquiries and provide updates regarding enrollment status and assistance requests<br />
Maintain knowledge of Medicare, Medicaid, Managed Care, and Commercial insurance processes and coverage requirements<br />
Process patient enrollments through phone, fax, and electronic submission channels<br />
Review forms and supporting documentation to ensure accuracy, completeness, and proper database updates<br />
Maintain detailed and accurate patient records while following established procedures and compliance requirements<br />
Provide empathetic support and guidance to patients, caregivers, and healthcare providers throughout the care journey</p>
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<p> Skills & Qualifications</p>
<p> Technical & Functional Skills:<br />
Experience with patient support services, healthcare coordination, case management, or high-touch customer interactions preferred<br />
Knowledge of insurance benefits, Medicare (Parts A, B, C, and D), Medicaid, and Commercial payer policies preferred<br />
Understanding of prior authorizations, appeals processes, and healthcare reimbursement practices preferred<br />
Familiarity with pharmaceutical therapies, disease states, and medication adherence challenges preferred<br />
Strong computer literacy skills, including Microsoft Office Suite (Word, Excel, Outlook) and data entry systems<br />
Ability to manage multiple systems while maintaining accurate documentation<br />
Strong problem-solving skills with the ability to independently resolve complex patient cases</p>
<p> Soft Skills:<br />
Excellent verbal and written communication skills<br />
Strong ability to build trust and connect with patients, caregivers, and healthcare providers<br />
Patient-focused mindset with empathy, professionalism, and active listening skills<br />
Strong attention to detail and accuracy when reviewing documentation<br />
Ability to prioritize multiple assignments in a fast-paced environment<br />
Flexible, persistent, and solution-oriented approach to challenges<br />
Strong organizational skills and ability to work independently</p>
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<p> Education & Additional Requirements<br />
Education: High School Diploma or equivalent preferred<br />
Experience: 2–4 years of patient-facing, healthcare, customer service, or related industry experience preferred</p>
<p> Work Environment:<br />
o Fully remote, full-time position<br />
o Dedicated, quiet, private, distraction-free workspace required<br />
o Must have reliable high-speed wired internet connection<br />
o Internet requirements:<br />
- Minimum 15 Mbps download speed<br />
- Minimum 5 Mbps upload speed<br />
- Maximum 30ms ping rate<br />
- Hardwired connection to router required<br />
- Dial-up, satellite, WiFi, and cellular connections are not accepted<br />
o Must use a surge protector with network line protection for company equipment<br />
o Company provides required computer equipment and technology</p>
<p> #TMCA</p>