Case Manager

Adecco is currently assisting a local client in their search to fill Case Manager’s jobs in Lewisville Tx


This is a temp to hire opportunity. As a Case Manager you will be responsible for taking inbound calls, benefit investigations, setting tasks on accounts.


 Apply Now if you meet the qualifications listed below!




• Monitor system accounts for new Patient cases • Conduct outbound calls to patients to confirm approval/denials of coverage, co-pays and verification of specialty pharmacy that will dispensing their medication  • Contact insurance companies as required to obtain and enter accurate benefit information to positively impact insurance processing and minimize rejections • Mediate effective resolution for complex payer/pharmacy issues toward a positive outcome to deescalate  • Place outbound calls to patients to assess for eligibility for co-pay and financial assistance  • Answer minimal inbound calls from doctors and/or patients checking on status of case • Maintain quality while providing an empathetic and supportive experience to the patients, providers, and physician offices  • Resolve patient's questions and concerns regarding status of their request for assistance • Enter detailed information into company proprietary software while conversing via telephone • Steward patient accounts from initial contact through final approval/denial • Process all patient applications in accordance to set policy, procedures and PHI compliance • Speak with manufacturer field team members on case updates via phone or by email  • Works internally with team members regarding patients’ cases  • Ability to identify, document and submit Adverse Events during customer contact or via received documentation • Conduct research associated with alternative funding or foundations to ensure patient has required information to receive product



• Minimum of HS diploma; additional education preferred • Previous healthcare experience with insurance or in pharmaceutical industry, preferred • Pharmacy benefits management experience preferred with specific knowledge of Medicare, Medicaid and commercially insured payer common practices and policies, preferred  • Previous prior authorization and appeals experience highly desired • Knowledge of ICD coding, preferred • Intermediate Microsoft skills with specific experience with Excel   • Organized with the ability to prioritize multiple, concurrent assignments and work with a sense of urgency • Exceptional communication skills both verbally and written • Self-starter with demonstrated initiative, creativity and a willingness to learn

Shift will vary Between 8:00am to 8:00pm, Monday – Friday. Pay is $18.00an hour

You must be able to pass a hair follicle test.


Adecco provides one of the most comprehensive benefits packages in the industry to contract workers.



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Equal Opportunity Employer Minorities/Women/Veterans/Disabled


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Reference number US_EN_99_020929_1193807