New

Reimbursement Case Manager

TEKsystems
$37,440.00 - $45,760.00 / yr
401(k), remote work
United States, North Carolina, Morrisville
Jul 22, 2025
Job Title: Work from home Reimbursement Case Manager Job Description As a Reimbursement Case Manager, you will be an expert in reimbursement, co-pay, foundation assistance, and benefit coordination. You will assist patients and healthcare professionals by verifying insurance coverage, handling medical billing, and navigating the reimbursement process for complex pharmaceuticals. Responsibilities * Serve as a resource for patients and healthcare professionals to verify insurance coverage and reimbursement processes. * Navigate payer challenges by asking appropriate questions to achieve necessary results. * Escalate complex cases according to program policy and procedures. * Evaluate program enrollment forms for data integrity. * Conduct insurance benefit investigations and triage cases according to program standard operating procedures. * Document case management activities in the system, including status and background notes. * Assist in the prior authorization and appeals process. Essential Skills * Ability to communicate effectively both orally and in writing. * Strong working knowledge of prior authorization and appeals. * Understanding of medical and pharmacy insurance terminology. * Problem-solving and decision-making skills. * Attention to detail and committed follow through in communication. * Strong organizational skills. * Ability to work in a fast-paced environment and adapt to change. * Interpersonal skills to work independently and as part of a team. * Proficient with Microsoft products. Additional Skills & Qualifications * Associate or bachelor's degree with 2 years of relevant experience, or a High school diploma with 5 years of relevant experience. Why Work Here? Enjoy a comprehensive benefits package including 401K with 5% matching from day one, generous PTO, and health/dental/vision/life coverage starting day one. Benefit from gym reimbursement, volunteer hours, and flexible work arrangements with options for hybrid or remote work. Work Environment This role is primarily remote in a call center environment, requiring a dedicated work-from-home office. There may be occasional onsite requirements, including training sessions in a classroom or cubicle setting. Job Type & Location This is a Permanent position based out of Morrisville, NC. Pay and Benefits The pay range for this position is $37440.00 - $45760.00/yr. 401K w/ 5% matching; day-1 vestment period 15 days PTO 8 Holidays + 2 Floating Days Health/Dental/Vision/Life; Coverage day-1 Gym Reimbursement Volunteer Hours Flexibility/Hybrid/Remote** Workplace Type This is a hybrid position in Morrisville,NC. Application Deadline This position is anticipated to close on Jul 31, 2025. h4>About TEKsystems: We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company. The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law. About TEKsystems and TEKsystems Global Services We're a leading provider of business and technology services. We accelerate business transformation for our customers. Our expertise in strategy, design, execution and operations unlocks business value through a range of solutions. We're a team of 80,000 strong, working with over 6,000 customers, including 80% of the Fortune 500 across North America, Europe and Asia, who partner with us for our scale, full-stack capabilities and speed. We're strategic thinkers, hands-on collaborators, helping customers capitalize on change and master the momentum of technology. We're building tomorrow by delivering business outcomes and making positive impacts in our global communities. TEKsystems and TEKsystems Global Services are Allegis Group companies. Learn more at TEKsystems.com. The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.