Case Manager

InnoSource; Nashville (TN); Remote; USD 23,000 - 32,000; Full time

Benefits offered by this job

Remote work from home

Starting pay $20/hour

Mon-Fri schedule CST 7am–7pm

Career growth in healthcare/insurance

Medical, dental, life insurance

Job summary

InnoSource is hiring a Remote Case Manager to help patients navigate healthcare processes from the comfort of your home. You will guide patients and providers through benefit investigations, prior authorizations, and enrollments, ensuring timely outcomes.

Ideal candidates have 2–4 years in patient-facing roles, Medicare/Medicaid knowledge, and strong communication skills. The position offers a 100% remote schedule with a Mon-Fri CST window and robust benefits in a Fortune 100 healthcare context.

Qualifications

• 2–4 years in patient-facing or high-touch customer service.
• Experience in Hub or Patient Support Service preferred.
• High school diploma or equivalent.
• Knowledge of Medicare/Medicaid and commercial payer policies preferred.
• Familiarity with pharmaceutical therapies and adherence challenges.
• Strong written and verbal communication; ability to connect with patients, caregivers, and providers.
• Proficiency in MS Office and data entry; strong computer literacy.
• People skills that demonstrate flexibility, persistence, creativity, empathy, and trust.

Responsibilities

• Handle inbound and outbound calls from patients, providers, and specialty pharmacies — aiming for one-call resolution
• Manage the full care journey from benefit investigation through medication delivery with urgency and care
• Conduct benefit verifications and coordinate with physicians, specialty pharmacies, and insurers
• Assist with prior authorizations, insurance requirements, and appeals — keeping patients informed throughout
• Explain insurance coverage, out-of-pocket costs, and the appeals process to patients in plain language
• Stay current on Medicare, Medicaid, Managed Care, and commercial plan changes to proactively support patients
• Process enrollments via fax, phone, and electronically; review forms for accuracy and completeness

Skills

Customer service

Communication

Healthcare knowledge

MS Office

Empathy

Education

High school diploma or equivalent

Tools

MS Office

Job description

Are you passionate about helping people, skilled at navigating complex information, and ready to grow your career in the healthcare industry? This is your opportunity to join a Fortune 100 healthcare company as a Remote Case Manager, where you’ll make a real impact in patients’ lives—all while working from home.

We’re looking for detail-oriented, compassionate professionals who enjoy solving problems, providing exceptional service, and ensuring patients get the support they need. If you’re ready to take your customer service or case management experience to the next level, we want to hear from you.

Key Responsibilities

What You’ll Do:

As a Remote Case Manager, you’ll guide patients and healthcare providers through important processes to ensure smooth, timely outcomes. Responsibilities include:

• Handle inbound and outbound calls from patients, providers, and specialty pharmacies — aiming for one-call resolution
• Manage the full care journey from benefit investigation through medication delivery with urgency and care
• Conduct benefit verifications and coordinate with physicians, specialty pharmacies, and insurers
• Assist with prior authorizations, insurance requirements, and appeals — keeping patients informed throughout
• Explain insurance coverage, out-of-pocket costs, and the appeals process to patients in plain language
• Stay current on Medicare, Medicaid, Managed Care, and commercial plan changes to proactively support patients
• Process enrollments via fax, phone, and electronically; review forms for accuracy and completeness

Requirements

Education and Experience – Case Manager

What you Bring:

• 2–4 years in patient-facing or high-touch customer service
• Previous Hub or Patient Support Service experience preferred
• High school diploma or equivalent
• Knowledge of Medicare (A/B/C/D), Medicaid, and commercial payer policies preferred
• Familiarity with pharmaceutical therapies, disease states, and medication adherence challenges
• Strong written and verbal communication skills; ability to connect with patients, caregivers, and providers
• Proficiency in MS Office and data entry; strong computer literacy
• Strong people skills that demonstrate flexibility, persistence, creativity, empathy, and trust.

Benefits & Pay

Why You’ll Love this Opportunity:

• 100% Remote – Work from your own home!
• Starting Pay: $20/hour
• Monday–Friday schedule (shift assigned within the hours of 7:00 AM – 7:00 PM CST)
• Career Growth – Build experience in the healthcare and insurance space
• Excellent Benefits – Including medical insurance, dental reimbursement, and life insurance

Start a Career That Makes a Difference

Through our partnership with a leader in the healthcare industry, InnoSource is offering you a chance to build a meaningful career with one of the most respected companies in the country. This is more than a job—it’s your launchpad into a growing industry where your work truly matters.

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.

Application Assistance

If you are an individual with a disability and need assistance in the application process please contact 614-775-1400 or email [e-mail].
We are an equal Opportunity Employer – Age / Race / Color / Sex / Sexual Orientation / Gender Identity / Disability / Veteran.