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!

 

 

Accountabilities

• 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

 

Qualifications

• 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.

 

 

Click on Apply Now to be considered for this Warehouse worker job in Carrollton, or you can visit our website www.adeccousa.com to search for other opportunities that are currently available.

 

Equal Opportunity Employer Minorities/Women/Veterans/Disabled

 

  • Apply with Adecco

Reference number US_EN_99_020929_1193807