Case Manager Remote
Waco, McLennan County, Texas, 76701, USA
Listed on 2026-10-02
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Healthcare
Healthcare Administration, Medical Billing and Coding
Case Manager (Remote) - Lewisville, TX
Location:
Remote (Lewisville, TX)
Schedule:
Full-time, 40 hrs/week. Assigned 8-hour shift between 7:00 AM - 7:00 PM CST. Training is Monday - Friday 8:00 AM - 5:00 PM CST for 4-6 weeks (camera required). Pay:
Not listed
Now hiring a remote Case Manager to support patient cases from intake through approval/denial outcomes. This Case Manager role focuses on outbound patient calls, benefits verification support, payer/pharmacy issue resolution, documentation, and compliance (PHI). Ideal for candidates with healthcare insurance experience, pharmacy benefits, prior authorization, appeals, or patient access support.
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
- High School Diploma/GED (required); additional education a plus
- 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
quiet private workspace; hardwired broadband internet required
Application requirementlaptop/desktop + Google Chrome; plan 20-30 minutes to apply
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