Case Manager

InnoSource; Chicago (IL); On-site; Full time

Job summary

A leading healthcare company seeks a Case Manager to enhance service provision within a Fortune 100 environment. The role requires effective communication and problem-solving abilities, focusing on patient support and interaction with healthcare providers. Ideal candidates will have prior case management experience and a strong understanding of healthcare policies, especially within the pharmaceutical sector.

Benefits

Medical Insurance

Life Insurance

Dental Reimbursement

Opportunity for Advancement

Qualifications

• Minimum of a HS diploma; additional education preferred.
• Case Manager experience preferred in insurance or pharmaceutical industry.
• Knowledge of Medicare and Medicaid policies preferred.

Responsibilities

• Conduct outbound calls to support patient needs.
• Document detailed activities for Benefit Investigation processing.
• Resolve complex problems independently.

Skills

Customer Support

Problem Solving

Communication

Education

High School Diploma

Tools

Microsoft Excel

Job description

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Join to apply for the Case Manager role at InnoSource

Are you looking to expand your skillsets in the healthcare industry working for a Fortune 100 company? Personalized service and creative solutions executed through a flexible technology platform means providers are more confident in prescribing drugs, patients can more quickly obtain and complete therapy, and manufacturers can directly access more actionable insight than ever before. With all services centralized in our custom-designed facility outside of Dallas, Texas, we help manufacturers rethink how far their products can go.

Key Responsibilities

• Effectively applies knowledge of job and company policies and procedures to complete a variety of assignments
• In-depth knowledge in technical or specialty area
• Applies advanced skills to resolve complex problems independently
• May modify process to resolve situations
• Works independently within established procedures; may receive general guidance on new assignments
• May provide general guidance or technical assistance to less experienced team members
• Demonstrate superior customer support talents
• Prioritize multiple, concurrent assignments and work with a sense of urgency
• Must communicate clearly and effectively in both a written and verbal format
• Conducts outbound calls when necessary to help support the needs of the patient and/or program
• Provides detailed activity notes as to what appropriate action is needed for the Benefit Investigation processing
• Working alongside teammates to best support the needs of the patient population
• Make outbound calls to the patient and/or provider to discuss benefit related information
• Documentation must be clear and accurate and stored in the appropriate sections of the database
• Must self-audit activities to ensure accuracy and efficiency for the program
• Must track any payer/plan issues and report any changes, updates, or trends to management
• Concurrently handle multiple outstanding issues and ensure all items are resolved in a timely manner to the satisfaction of all parties

Education and Experience

• Minimum of HS diploma; additional education preferred
• Previous Case Manager experience within insurance or pharmaceutical industry, preferred
• Pharmacy benefits management experience preferred with specific knowledge of Medicare, Medicaid and commercially insured payer common practices and policies, preferred
• Previous prior authorization and appeals experience highly desired
• Intermediate Microsoft skills with specific experience with Excel

Benefits and Pay

• Starting pay rate of $20/hour.
• Monday through Friday schedule that varies between 7 a.m.-7 p.m. Central Standard Time Zone
• Opportunity for advancement and growth
• Generous benefits including medical insurance, life insurance, and dental reimbursement

About InnoSource

InnoSource has been Putting Passion to Work for over 25 years. We care about our associates and our clients, and we aim to deliver for both. This means connecting each individual with the best long-term career fit based on unique skills and needs, and guiding you through the process along the way.

Pre-Employment Checks

If offered a position, we will run a criminal background check, drug screen, employment and education verification in accordance with all applicable laws.

By “Submitting” this application/form you are opting-in/signing up for texts, you consent to receive communication via text messages from InnoSource, Inc. at the number provided, including messages sent by an auto dialer. Message and data rates may apply. Message frequency varies. Privacy Policy and Terms.

Equal Opportunity Employer - Age/Race/Color/Sex/Sexual Orientation/Gender Identity/Disability/Veteran

Seniority level

• Seniority level

  Associate

Employment type

• Employment type

  Full-time

Job function

• Job function

  Customer Service and Administrative

• Industries

  Hospitals and Health Care

Referrals increase your chances of interviewing at InnoSource by 2x

Inferred from the description for this job

Medical insurance

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