Remote Case Manager: Patient Access & Appeals

A-Line Staffing Solutions; Lewisville (TX); Remote; USD 42,000 - 64,000; Full time

Job summary

A-Line Staffing Solutions is hiring a Case Manager to support remote patient cases from intake through approvals or denials from their Lewisville, TX area. This role focuses on outbound calls, benefits verification, payer/pharmacy issue resolution, and strict PHI compliance.

Ideal candidates have healthcare insurance experience, PBM or prior authorization exposure, and strong documentation skills; CRM systems familiarity is a plus. Training and initial remote setup are required.

Qualifications

• High School Diploma/GED (required).
• Healthcare insurance, patient access, PBM, prior authorization, or appeals experience (preferred).
• Strong documentation, communication, and multitasking skills.
• Strong computer skills and comfort using CRM/proprietary systems.

Responsibilities

• Monitor queues for new patient cases and manage case progression.
• Call patients to confirm approvals/denials, copays, and pharmacy dispensing details.
• Contact insurers to obtain and update benefit information.
• Resolve payer/pharmacy issues and document outcomes clearly.
• Maintain patient/provider support with empathy and professionalism.
• Identify and submit adverse events compliantly when applicable.
• Research potential funding/foundation support options when needed.

Skills

Communication

Documentation

Multitasking

CRM experience

Education

High School Diploma or GED

Tools

CRM software

Proprietary systems

Job description

A-Line Staffing Solutions is hiring a Case Manager to support remote patient cases from intake through approvals or denials from their Lewisville, TX area. This role focuses on outbound calls, benefits verification, payer/pharmacy issue resolution, and strict PHI compliance.

Ideal candidates have healthcare insurance experience, PBM or prior authorization exposure, and strong documentation skills; CRM systems familiarity is a plus. Training and initial remote setup are required.