Medical Reimbursement Case Manager

Job Summary

A company is looking for Case Managers.

Key Responsibilities

• Manage complex billing, coding, insurance inquiries, and appeals
• Coordinate with payers, Patient Navigators, and clients to resolve denied or underpaid claims
• Assess patient insurance coverage and eligibility while documenting activities

Required Qualifications

• Bachelor's degree or equivalent experience
• High volume call center experience is a must
• Minimum 4 years of recent healthcare experience (2 years direct industry preferred)
• Demonstrated proficiency in Microsoft Office applications
• Must pass a criminal background screening