Case Manager at TEKsystems
Jeffersonville, IN 47129
About the Job
Case Managers Needed!!!
Description:
You’ll manage a number of cases work directly with those patients and act as that patient advocate. You’ll work through their cases andget them qualified
- Lower call volume, more complex calls
- Compassionately deliver an exceptional experience to many patients per day always remembering that every prescription or document belongs to a real person who is looking for thorough efficient management of their records.
- Adjust your approach to their needs by communicating clearly, focusing on the accuracy of the details of their medical records and your mastery of the program requirements, and ensuring their prescriptions or cases are handled timely.
- Reporting of Adverse Events/Product Complaint inquiries received in accordance with SOP and good manufacturer practices
- Provides timely feedback to the company regarding service failures r customer concerns
- Effectively uses internal technology platform to complete claims processing and keep workflows moving
- Communicate with key medical practice accounts, sales representatives regarding the status of cases
- Provide consultative services where issues arise on how obstacles can be overcome to get patient on paid therapy
- On-Site for the first 6-months, then opportunity to go hybrid if performance is exceptional
Skills:
Customer service, Benefits administration, Prior Authorization, Benefit verification, Call center, Health insurance, Pharmacy, Insurance, Health care, Microsoft office
Requirements:
- Bachelor's degree strongly preferred or equivalent experience required; completion of high school diploma or GED is required
- Healthcare experience required - unless candidate has bachelors degree & Strong customer service experience/tenure
- Medical terminology - strongly preferred
- 6 months of payer benefits experience (reimbursement, prior auth, etc), healthcare industry experience or healthcare related experience is required
- Bilingual is a plus
Additional Qualifications:
- Service minded individuals - focus on recognizing and meeting the needs of others (especially patients and care partners)
- Trouble-shooting and problem solving individuals
- Tough conversations - able to be a patient advocate for patients with high prescription costs
- Ability to handle personal health information with confidentiality
- Commitment to honesty and integrity
- Professionalism and a strong sense of proper business and customer service etiquette
- Clear verbal and written communication skills
- Accountability for results
- Ability to plan and prioritize tasks with close attention to detail
- Positive Attitude
About TEKsystems:
We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company.
The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.