Job Description
Job Description
If you are interested in this Case Manager position, please apply here or contact Mia Garrett at Mgarrett@alinestaffing.com or 586-422-1209. 147439
Case Manager Compensation
- Starting Pay Rate: $20.00/hour | Paid Bi-Weekly
- Benefits are available to full-time employees after 90 days of employment.
- A 401(k) with a company match is available for full-time employees with 1 year of service on our eligibility dates
Case Manager Highlights
- MUST COMPLETE REQUIRED ASSESMENTS FOR CONSIDERATION
- Shift Notes: Monday - Friday | Must be able to work any 8-hour shift between 7 AM–7 PM (CST) as assigned
- Training: Onboarding training schedule: 8 AM–5 PM (CST) | Duration: 4–6 weeks
- Location: Fully Remote | Company provides computer, technology, and necessary equipment
About the Role:
As a Case Manager, you’ll support patient access and therapy initiation by coordinating with patients, providers, and payers. You will manage patient cases end-to-end, resolve benefit issues, and ensure a smooth patient journey through your compassionate and detail-oriented service.
Key Responsibilities
- Monitor system accounts for new patient cases
- Conduct outbound calls to confirm insurance approval/denial, co-pays, and specialty pharmacy verification
- Contact insurance companies for benefits verification and accurate data entry
- Resolve payer/pharmacy issues and patient concerns
- Enter detailed and clear call documentation into proprietary software
- Manage accounts from initial contact through final resolution (approval/denial)
- Process patient applications in compliance with company policies and PHI regulations
- Communicate updates and case progress to internal team and leadership
- Identify and report Adverse Events compliantly
- Research alternate funding sources and foundations for eligibility
- Deliver empathetic, supportive service and maintain high-quality patient interactions
Education & Experience Requirements
- Required: High School Diploma or GED
Preferred Experience:
- Healthcare, insurance, or pharmaceutical background
- Familiarity with Medicare, Medicaid, and commercial payers
- Experience with prior authorizations, appeals, and pharmacy benefit management