Senior Case Manager, Reimbursement
virtual vocationsDenver, CO
About the role
To support a growing pharmaceutical support practice, the full-time Senior Case Manager, Reimbursement will manage a caseload, ensuring timely completion of prior authorizations, reauthorizations, and appeals while acting as a primary resource for patients and healthcare providers in a remote setting.
Key responsibilities:
Provide oversight and coordination of caseload to ensure timely completion of case elements and tasks
Act as the single point of contact for prior authorization and appeal processing communications with patients and external stakeholders
Serve as a patient advocate, coordinating access services and troubleshooting complex cases across multiple disease states
Required qualifications:
Bachelor's degree or six years of relevant working experience
Five or more years of experience in pharmacy benefit management, specialty pharmacy, or patient support/access services preferred
Three or more years of experience in pharmacy and/or medical benefit verifications, prior authorization, and/or appeals required
Experience as a Medical Assistant, Social Worker, or Senior Reimbursement Specialist preferred
Proficiency in Microsoft Office applications and knowledge of medical and claims processing terminology
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JOB OVERVIEW
Experience level
Senior
Location
Denver, CO
Occupation
Pharmacists
Industry
Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds
Posted
yesterday
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