• Job Description

  Req#: 25-07339

  Reimbursement Case Manager

  Location
  Remote‑US | Must be available between 8am–8pm EST

  Role Impact
  Join a team helping patients navigate complex reimbursement systems and access vital therapies. As a Case Manager, you’ll serve as a key advocate and liaison between patients, providers, and pharmacie; supporting timely, accurate case handling in a fully remote, fast-paced setting.

  Key Responsibilities
  • Manage patient and provider inquiries as the primary point of contact
  • Conduct benefit investigations, prior authorizations, and appeals
  • Guide enrollment in patient assistance and copay programs
  • Maintain accurate case documentation in compliance with HIPAA
  • Coordinate with providers, insurers, and internal departments to ensure case progression
  • Report Adverse Events per SOP and training standards

  Minimum Qualifications
  • 3+ years of specialty pharmacy experience and/or 3+ years of medical benefits reimbursement experience (MUST)
  • Knowledge of HIPAA and reimbursement processes (MUST)
  • Proficient in MS Word, Excel, and case documentation systems
  • Available to work any shift between 8am–8pm EST (MUST)

  Core Tools & Systems
  • CRM/case management platforms
  • MS Excel
  • MS Word
  • Phone queue systems
  • HIPAA-compliant data tools

  Preferred Skills
  • Bachelor’s degree
  • Medicare and Medicaid experience as it relates to government insurance payers
  • Background in specialty pharmacy or reimbursement hub environments

  Compensation & Schedule
  • $18–20/hour
  • 3–6 month contract (W2)
  • Start: ASAP

  EEO / ADA Statement
  We are an equal opportunity employer and provide reasonable accommodations upon request.

• About the company

  Talentbridge is a leading talent management company in the United States. Contact us for your staffing and recruiting needs.

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