Job Details

Job Description

Case Manager (Remote) - Lewisville, TX - Call Holly to apply 586-710-7980

Location: Remote (Lewisville, TX)
Schedule: Full-time, 40 hrs/week. Assigned 8-hour shift between 7:00 AM-7:00 PM CST. Training is Monday-Friday 8:00 AM-5:00 PM CST for 4-6 weeks (camera required).
Pay: Not listed

Summary

Now hiring a remote Case Manager to support patient cases from intake through approval/denial outcomes. This Case Manager role focuses on outbound patient calls, benefits verification support, payer/pharmacy issue resolution, documentation, and compliance (PHI). Ideal for candidates with healthcare insurance experience, pharmacy benefits, prior authorization, appeals, or patient access support.

Responsibilities

• Monitor queues for new patient cases and manage case progression
• Call patients to confirm approvals/denials, copays, and pharmacy dispensing details
• Contact insurers to obtain and update benefit information
• Resolve payer/pharmacy issues and document outcomes clearly
• Maintain patient/provider support with empathy and professionalism
• Identify and submit adverse events compliantly when applicable
• Research potential funding/foundation support options when needed

Qualifications

• High School Diploma/GED (required); additional education a plus
• Healthcare insurance, patient access, PBM, prior authorization, or appeals experience (preferred)
• Strong documentation, communication, and multitasking skills
• Strong computer skills and comfort using CRM/proprietary systems
• Remote readiness: quiet private workspace; hardwired broadband internet required
• Application requirement: laptop/desktop + Google Chrome; plan 20-30 minutes to apply

Job Requirements

Qualifications

• High School Diploma/GED (required); additional education a plus
• Healthcare insurance, patient access, PBM, prior authorization, or appeals experience (preferred)
• Strong documentation, communication, and multitasking skills
• Strong computer skills and comfort using CRM/proprietary systems
• Remote readiness: quiet private workspace; hardwired broadband internet required
• Application requirement: laptop/desktop + Google Chrome; plan 20-30 minutes to apply

Meet Your Recruiter

Holly Romain

hromain@alinestaffing.com

hromain@alinestaffing.com

About Lewisville, TX

Take the first step towards landing your dream job in Lewisville, Texas! This vibrant city, located in the heart of the Dallas-Fort Worth metroplex, offers a dynamic mix of career opportunities and a high quality of life. Lewisville boasts a thriving economy, top-notch schools, and a diverse array of cultural attractions including the MCL Grand Theater, Lewisville Lake, and the charming Old Town Lewisville area. With close proximity to major highways, a variety of dining options ranging from authentic Tex-Mex to southern BBQ, and easy access to professional sports venues like AT&T Stadium and the American Airlines Center, Lewisville provides the perfect backdrop for advancing your career while enjoying everything this lively community has to offer. Explore our job listings now and discover the exciting possibilities that await you in Lewisville!

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