.. Coordinate the RAI process, which includes, at minimum, the following elements: Minimum Data Set (MDS) – care area assessment process & care plan development, implementation & evaluation. Oversee the baseline care plan & coordinate the completion of the comprehensive care plan according to regulatory .. read more
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.
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.