Case Manager

" Monitor system accounts for new Patient cases " Conduct outbound calls to patients to confirm approval/denials of coverage, co-pays and verification of specialty pharmacies dispensing medication(s) " Contact insurance companies as required to obtain / enter accurate benefit information related to patient coverage " Mediate effective resolution for complex payer/pharmacy issues toward a positive outcome " 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 " Works with / provides updates to team members and leadership on patients cases " Ability to identify, document and compliantly submit Adverse Events during customer contact or via received documentation " Conduct research associated with alternative funding / foundations to determine patient eligibility to receive product " Effectively applies knowledge of job and company policies and procedures to complete a variety of assignments " Applies advanced skills to resolve complex problems independently " Works independently within established procedures

Skills: " Ability to multitask, utilizing specific software programs while speaking with patients and/or healthcare staff.

" Ability to type a minimum of 40 WPM.

" Ability to transcribe (type) accurate notes while speaking to customer.

" Strong Microsoft Products experience required.

" Ability to navigate video conferencing tools such as Microsoft Teams and Zoom.

" Strong video conferencing experience.

" Must have the ability to work via video conferencing as required by leadership.

" Organized with the ability to prioritize multiple, concurrent assignments and work with a sense of urgency " Exceptional communication skills both verbally and written " Strong attention-to-detail and quality documentation " Exceptional, professional verbal communication skills with friendly, empathetic, and patient centric focus " Independent worker and self-starter with solid time management skills and ability to work with high volume production teams " Continuous learner with a desire to move into a senior level role " Solid work-ethic and driven to achieve daily/weekly metrics " Strict adherence to company attendance policies " Self-starter with demonstrated initiative, creativity and a willingness to be a team player

REMOTE DETAILS: All U.S. residents are eligible to apply to this position. You will work remotely, full-time. It will require a dedicated, quiet, private, distraction free environment with access to high-speed internet. We will provide you with the computer, technology and equipment needed to successfully perform your job. You will be responsible for providing high-speed internet. Internet requirements include the following: Maintain a secure, high-speed, broadband internet connection (DSL, Cable, or Fiber) at the remote location. Dial-up, satellite, WIFI, Cellular connections are NOT acceptable. Download speed of 15Mbps (megabyte per second) " Upload speed of 5Mbps (megabyte per second) " Ping Rate Maximum of 30ms (milliseconds) " Hardwired to the router " Surge protector with Network Line Protection for CAH issued equipment Inability to meet these requirements at any time may result in termination of the contract / employment.

Keywords:

Education: " 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 # of Positions: 2

Location:

Lewisville, TX

2730 S Edmonds Ln, TX-Lewisville:Suite 300:USCentral

EEO:- Mindlance is an Equal Opportunity Employer and does not discriminate in employment on the basis of Minority/Gender/Disability/Religion/LGBTQI/Age/Veterans