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(Case Manager) – Remote

Location: Fully Remote (U.S.)
Job Type: Full-Time
Pay Rate: $20.00 per hour
Start Date: Early September (Large Training Class)

Make a Meaningful Impact in Patient Access

Join a growing healthcare support organization dedicated to helping patients navigate complex treatment journeys and gain timely access to life-changing therapies. This fully remote opportunity is ideal for professionals who are passionate about patient advocacy, healthcare navigation, insurance support, and delivering exceptional customer experiences.

As a Senior Coordinator, Patient Access (Case Manager), you will serve as a critical resource for patients, healthcare providers, specialty pharmacies, and insurance partners. You'll help remove barriers to care by coordinating benefits investigations, insurance verification, prior authorizations, appeals support, and medication access services.

If you thrive in a fast-paced healthcare environment and enjoy solving complex patient access challenges, we encourage you to apply.

Key Responsibilities

• Manage inbound and outbound communications with patients, healthcare providers, specialty pharmacies, and insurance representatives
• Guide patients through the healthcare access process from benefits verification through medication fulfillment
• Conduct insurance benefit investigations and verify coverage details
• Support prior authorization and appeals processes while coordinating with healthcare stakeholders
• Educate patients on insurance benefits, coverage limitations, and potential out-of-pocket costs
• Provide timely updates regarding case status and treatment access
• Process patient enrollments received via phone, fax, and electronic platforms
• Review documentation for accuracy, completeness, and compliance requirements
• Maintain detailed and accurate records within internal systems
• Navigate Medicare, Medicaid, commercial insurance plans, and specialty pharmacy processes
• Deliver compassionate, patient-centered service while driving efficient case resolution

Qualifications

Required

• 2+ years of customer-facing healthcare, patient support, case management, reimbursement, insurance verification, or healthcare coordination experience
• Strong communication and relationship-building skills
• Excellent problem-solving and organizational abilities
• Proficiency with data entry and Microsoft Office applications
• Ability to work independently in a remote environment

Preferred

• Experience in Patient Support Programs, Hub Services, Specialty Pharmacy, or Patient Access
• Knowledge of Medicare (Parts A, B, C, and D), Medicaid, and Commercial Insurance plans
• Understanding of prior authorizations, appeals, reimbursement, and benefits investigation processes
• Familiarity with specialty medications, pharmaceutical therapies, and patient adherence challenges
• High School Diploma or equivalent

Remote Work Requirements

This is a fully remote position. Candidates must maintain:

• Dedicated, private, distraction-free workspace
• High-speed broadband internet connection (DSL, Cable, or Fiber)
• Minimum 15 Mbps download speed
• Minimum 5 Mbps upload speed
• Maximum 30 ms ping rate
• Hardwired internet connection to router

Employer-provided equipment will be supplied.

Training & Schedule

Paid Training

• Mandatory attendance required
• Training Schedule: Monday–Friday, 8:00 AM–5:00 PM CST

Work Schedule

• Full-Time (40 hours per week)
• Must be available to work scheduled shifts during business hours:
• • Monday–Friday
  • Between 7:00 AM and 8:00 PM CST

Why Join Us?

• Fully remote career opportunity
• Meaningful work that directly impacts patient outcomes
• Collaborative and mission-driven culture
• Comprehensive training and support
• Opportunity to develop expertise in patient access, reimbursement, specialty pharmacy, and healthcare navigation
• Stable full-time schedule with growth potential