Case Manager

Adecco is currently assisting a local client in their search to fill an exciting Case Manager role in Lewisville, TX! Apply now if you meet the qualifications listed below!

 

Hours: M-F 8-hour shift ranging between 7A to 8P

Pay Rate: $18.00 per hour

Duration: 5-month contract (possibility to be extended or become perm)

 

Responsibilities:

  • 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

 

How to Apply: Click on “Apply Now” to be considered for this position or any other opportunities with Adecco.

 

IMPORTANT: This position is being recruited for by Adecco’s National Recruitment Center, not your local Adecco Branch Office. To be considered for this position, you must use the “apply now” button to submit your resume. If you have questions about the position, you may contact the recruiter recruiting for this position listed above. For other opportunities available at Adecco go to www.adeccousa.com.

 

If you have any questions surrounding the application process, please feel free to reach out to: Ibrahima.Diallo@Adeccona.com

 

The Adecco Group is a global leader in HR services.  Our group connects over 700,000 associates with our business clients each day through our 6,600 offices in over 70 countries and territories around the world.  We offer employment opportunities at any stage in your professional career.  Contact us today to discuss available contract and direct hire positions.  Adecco Group provides one of the most comprehensive benefits packages in the industry to contract workers to include Holiday, 401(k), Insurance Benefit Plans and Service/Anniversary Bonus opportunities.

 

Equal Opportunity Employer Minorities/Women/Veterans/Disabled

  • Apply with Adecco

Reference number US_EN_99_022862_366801