Reimbursement Case Manager. Will serve as an expert on reimbursement issues and be responsible for handling the day-to-day activities within reimbursement services (benefits investigation, prior authorizations and appeals support). Complete medical and/or pharmacy benefit investigations, identify and facilitate submission of required documentation for payer/plan review for prior authorization, step edit identification and appeals according to pro...
Purpose. . The. Reimbursement. Case Manager. is a. professional. client facing. role. responsible for various functions, including. accurate. and. timely. response to client inquiries. regarding. specific referral status or escalation. The. Reimbursement. Case Manager. serves as a. p. rimary point of contact for professional, concise internal and external communication. regarding. case status updates, next steps in prescription processing, commun...
