Case Manager

Job Title: Case Manager
Location: 100% Remote
Pay: $20/hour plus paid weekly!
Start Date: September 8, 2026
Schedule: Monday to Friday, shifts available between 7:00 AM – 8:00 PM CST (8-hour shift within business hours)
Training: Mandatory virtual training Monday to Friday, 8:00 AM – 5:00 PM CST. Full attendance required. No pre-planned time off during training.
 
About the Role:
This role supports specialty pharmaceutical manufacturers by helping patients access, afford, and remain on life-changing therapies. As a dedicated Case Manager, you will guide patients throughout their treatment journey by coordinating benefits, insurance approvals, medication access, and ongoing support. You will work closely with patients, healthcare providers, specialty pharmacies, and insurance companies to ensure timely access to prescribed therapies while delivering an exceptional patient experience.
 
Key Responsibilities:
• Manage the entire patient care journey from benefit investigation and verification through medication delivery with a strong sense of urgency.
• Handle inbound and outbound calls from patients, healthcare providers, specialty pharmacies, and customers while striving for first-call resolution.
• Conduct benefit investigations and verifications to determine patient coverage and eligibility.
• Collaborate with physicians, specialty pharmacies, and insurance providers to coordinate patient care and treatment access.
• Assist with obtaining prior authorizations, insurance approvals, appeals, and reimbursement requirements.
• Educate patients on insurance coverage, out-of-pocket costs, and available support options.
• Address and resolve patient, caregiver, and provider inquiries regarding case status and assistance requests.
• Maintain knowledge of Medicare, Medicaid, Managed Care, and Commercial insurance plans and reimbursement processes.
• Process patient enrollments received via phone, fax, or electronic submission.
• Review enrollment forms and supporting documentation for completeness and accuracy before processing.
• Document case activities and update patient records within company systems.
• Provide guidance and support for complex cases while maintaining compliance with company procedures.
 
Qualifications and Skills:
• 2–4 years of experience in patient-facing, healthcare customer service, or high-touch customer support roles preferred.
• Previous Hub Services, Patient Support Program, Specialty Pharmacy, or Case Management experience preferred.
• High School Diploma or equivalent preferred.
• Knowledge of Medicare (Parts A, B, C, and D), Medicaid, and Commercial insurance plans preferred.
• Strong customer service skills with empathy, flexibility, persistence, and professionalism.
• Excellent verbal and written communication skills.
• Strong problem-solving and critical-thinking abilities.
• Proficiency with Microsoft Office applications and data entry systems.
• Understanding of pharmaceutical therapies, disease states, medication adherence, and reimbursement processes preferred.
• Ability to work independently while managing multiple priorities in a fast-paced environment.
 
Remote Requirements:
• Dedicated, quiet, and distraction-free workspace.
• High-speed wired internet connection (DSL, Cable, or Fiber).
• Minimum download speed of 15 Mbps.
• Minimum upload speed of 5 Mbps.
• Maximum ping rate of 30 ms.
• Hardwired Ethernet connection required (Wi-Fi, satellite, and cellular connections are not acceptable).
• Surge protector with network line protection for company-issued equipment required.
 
#TMCS