Patient Case Manager - TEKsystems

Patient Case Manager

Will be working fully in office!

You’ll enjoy…

Standard Hours – Monday-Friday 8:30AM-5:00 PM

8 weeks of paid training!

Great Company Benefits!

A day in the role…

·      Provides personalized case management to patients and HCP's including outbound communication to HCP's and patients to communicate benefits coverage and next steps in obtaining coverage

·       Leverages electronic tool to identify benefits and payer coverage; completes manual benefit investigations as needed

·       Identifies and communicates patients' plan benefit coverage including the need for prior auth, appeal, tier exception, and/or formulary exclusions

·      Uses electronic resources to obtain benefit coverage outcome and if needed ,outbound call to payers and healthcare providers to follow up on proper submission/or outcome

Necessary Skills and Strengths:

Health Plan Knowledge| Medical Insurance| Medical Terminology 

Core Experience:

·      Healthcare experience required

·      Medical terminology - strongly preferred

·      6 months of payer benefits experience (reimbursement, priorauth, etc), healthcare industry experience or healthcare related experience is required

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.