ManpowerGroup • Cary, NC 27512
Job #2714143669
Our client, an independent specialty pharmacy, is seeking a Case Manager to join their team. As a Case Manager, you will be part of the team managing complex reimbursement issues. The ideal candidate will have excellent interpersonal, organizational and problem solving skills which will align successfully in the organization.
Job Title: Case Manager
Location: Cary, NC (Hybrid)
Pay Range: $21.50/hour
What's the Job?
Process and perform adjudication of speciality pharmacy claims
Working in a fast paced, high volume contact center environment with a variety of product support programs managing complex reimbursement issues
Manage assigned queues keeping up to date and current on all claims
Work closely with healthcare providers and patients to assist with appeal management for claim denials
Communicate product benefits effectively
What's Needed?
5 years of experience in the healthcare industry including medicare and/or medicaid program administration, insurance verification and/or claim adjudication, physicians office or outpatient billing, and pharmacy
Medical/insurance industry customer service experience
Must be able to analyze reimbursement specific data and prepare written reports for management and client communications
Must have an in depth understanding of Medicare and Medicaid programs
Must have an in-depth understanding of insurance plans and benefit structures
What's in it for me?
Monday-Friday schedule, 8 hour shift between 8am and 8pm
Paid training
Hybrid schedule (Must be local to Cary, NC)
Potential temporary to hire opportunity
Weekly pay with direct deposit
If this is a role that interests you and you'd like to learn more, click apply now and a recruiter will be in touch with you to discuss this great opportunity. We look forward to speaking with you!
About ManpowerGroup, Parent Company of: Manpower, Experis, Talent Solutions, and Jefferson Wells
ManpowerGroup® (NYSE: MAN), the leading global workforce solutions company, helps organizations transform in a fast-changing world of work by sourcing, assessing, developing, and managing the talent that enables them to win. We develop innovative solutions for hundreds of thousands of organizations every year, providing them with skilled talent while finding meaningful, sustainable employment for millions of people across a wide range of industries and skills. Our expert family of brands - Manpower, Experis, Talent Solutions, and Jefferson Wells - creates substantial value for candidates and clients across more than 75 countries and territories and has done so for over 70 years. We are recognized consistently for our diversity - as a best place to work for Women, Inclusion, Equality and Disability and in 2022 ManpowerGroup was named one of the World's Most Ethical Companies for the 13th year - all confirming our position as the brand of choice for in-demand talent.
ManpowerGroup is committed to providing equal employment opportunities in a professional, high quality work environment. It is the policy of ManpowerGroup and all of its subsidiaries to recruit, train, promote, transfer, pay and take all employment actions without regard to an employee's race, color, national origin, ancestry, sex, sexual orientation, gender identity, genetic information, religion, age, disability, protected veteran status, or any other basis protected by applicable law.
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