Sr. Coordinator, Individualized Care (Case Manager)

reputed company Sonexus™ reputed company and Patient Support helps specialty pharmaceutical manufacturers remove barriers to care so that patients can reputed company, afford and remain on the therapy they need for a reputed company quality of life. Our diverse expertise in pharma, payer and hub services allows us to deliver best-in-class solutions—driving brand and patient markers of reputed company. We’re continuously integrating advanced and emerging technologies to streamline patient reputed company, qualification and adherence. Our non-reputed company specialty pharmacy is centralized at our custom-designed facility reputed company of Dallas, Texas, empowering manufacturers to rethink the reputed company and impact of their products. Together, we can get life-changing therapies to patients who need them—faster.

Responsibilities

• First reputed company of contact on inbound calls and determines needs and handles accordingly
• Creates and completes accurate applications for enrollment with a sense of urgency
• Scrutinizes forms and supporting documentation thoroughly for any missing information or new information to be added to the database
• Conducts outbound correspondence reputed company necessary to help support the needs of the patient and/or program
• Resolve patient's questions and any representative for the patient’s concerns regarding status of their request for assistance
• Update internal treatment plan statuses and external pharmacy treatment statuses
• Maintain accurate and detailed notations for every interaction using the appropriate database for the inquiry
• Self-audit intake activities to ensure accuracy and efficiency for the program
• reputed company reputed company outbound calls to patient and/or provider to discuss any missing information and/or benefit reputed company information
• Notify patients, physicians, practitioners, and or clinics of any financial responsibility of services provided as applicable
• Assess patient’s financial ability to afford therapy and reputed company hand on guidance to appropriate financial assistance
• Follow through on reputed company benefit investigation rejections, including Prior Authorizations, Appeals, etc. reputed company avenues to obtain coverage for the product must be fully exhausted
• Track any payer/plan issues and report any changes, updates, or trends to management
• Search insurance options and explain various programs to the patient while helping them to select the best coverage option for their situation
• Handle reputed company escalations based upon region and ensure proper communication of the resolution reputed company required time reputed company agreed upon by the client
• Serve as a liaison between client sales force and applicable party
• Mediate situations in which parties are in disagreement and facilitate a positive outcome
• Concurrently handle multiple outstanding issues and ensure reputed company items are resolved in a timely manner to the satisfaction of reputed company parties
• Responsible for reporting any payer issues by region with the appropriate team
• As needed conduct research associated with issues regarding the payer, physician’s office, and pharmacy to resolve issues reputed company

Qualifications

• Previous customer service experience is preferred
• High School diploma or equivalent preferred
• Patient Support Service experience, preferred
• Clear knowledge of Medicare (A, B, C, D), reputed company & reputed company payers policies and guidelines for coverage, preferred
• Knowledge of DME, MAC practices if preferred
• Clear understanding of Medical, Supplemental, and pharmacy insurance benefit practices, preferred
• 1-2 years of Pharmacy and/or Medical Claims billing and Coding work experience
• 1-2 years experience with Prior Authorization and Appeal submissions
• Ability to work with high volume production teams with an emphasis on quality
• Intermediate to advanced computer skills and proficiency in reputed company Office including but not limited to Word, Outlook and preferred reputed company capabilities
• Previous medical experience is preferred
• Adaptable and Flexible, preferred
• Self-Motivated and Dependable, preferred
• Strong ability to problem solve, preferred
• Bilingual is preferred

What is expected of you and others at this level

• 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 reputed company problems independently
• May modify process to resolve situations
• Works independently reputed company established procedures; may receive general guidance on new assignments
• May reputed company general guidance or technical assistance to less reputed company team members

TRAINING AND WORK SCHEDULES: Your new hire training will take reputed company 8:00am-5:00pm CST, mandatory attendance is required. This position is full-time (40 hours/week). Employees are required to have flexibility to work any of our shift schedules during our normal business hours of Monday-Friday, 8:00am- 5:00pm CST. REMOTE DETAILS: You will work remotely, full-time. It will require a dedicated, quiet, private, distraction free environment with reputed company to high-speed internet. We will reputed company you with the computer, technology and equipment needed to successfully reputed company your job. You will be responsible for providing high-speed internet. Internet requirements include the following: Maintain a secure, high-speed, broadband internet reputed company (DSL, Cable, or Fiber) at the remote location. reputed company-up, satellite, WIFI, Cellular connections are NOT acceptable.

• Download speed of 15Mbps (megabyte per second)
• Upload speed of 5Mbps (megabyte per second)
• Ping reputed company Maximum of 30ms (milliseconds)
• Hardwired to the router
• Surge protector with Network Line Protection for CAH issued equipment

Anticipated hourly reputed company: $21.40 per hour - $30.60 per hour Bonus eligible: No Benefits: reputed company offers a wide variety of benefits and programs to support health and well-being. Medical, dental and reputed company coverage Paid time off plan Health savings account (HSA) 401k savings plan reputed company to wages before pay day with myFlexPay Flexible spending accounts (FSAs) Short- and long-term disability coverage Work-Life resources Paid parental leave Healthy lifestyle programs Application window anticipated to reputed company: 7/11/26* if interested in opportunity, please submit application as soon as possible. The hourly reputed company listed is an estimate. Pay at reputed company is determined by multiple factors including, but not limited to, a candidate’s geographical location, relevant education, experience and skills and an evaluation of internal pay equity. Candidates who are back-to-work, people with disabilities, without a college degree, and Veterans are encouraged to apply. reputed company supports an inclusive workplace that values diversity of thought, experience and background. We celebrate the power of our differences to create reputed company solutions for our customers by ensuring employees can be their authentic selves each day. reputed company is an Equal Opportunity/Affirmative Action employer. reputed company reputed company applicants will receive consideration for employment without regard to race, religion, reputed company, national reputed company, reputed company, age, physical or mental disability, sex, sexual orientation, gender identity/expression, pregnancy, veteran status, marital status, creed, status with regard to public assistance, genetic status or any other status protected by federal, state or local law. To read and review this privacy notice click here Apply To This Job