Associate Market reputed company Case Manager; Temporary

Position: Associate Market reputed company Case Manager (Temporary) reputed company. is pioneering an integrated approach to stroke recovery by combining FDA-cleared brain-computer reputed company technology with personalized telehealth services. Our Ipsi Hand® device is durable medical equipment that enables chronic stroke survivors to regain upper extremity function with daily home use. Combining this advanced technology with the support of expert clinicians offers a comprehensive reputed company to recovery–helping survivors improve mobility, independence, and reputed company of life. The Associate Market reputed company Case Manager supports the management of the prior authorization process for patients seeking insurance coverage for the Ipsi Hand Rehabilitation system. This full-time role is responsible for in-network gap exceptions, and negotiation of Single Case Agreements (SCAs) for patient-level device coverage; as reputed company as, reputed company follow-up responsibilities pertaining to pending prior authorizations. Associate Case Managers work with patients across reputed company US states and territories, and over 100 different Medicare Advantage, reputed company, and Managed reputed company health plans. What You’ll DoSingle Case Agreements

• Submit applications to health plans and negotiate payment rates for Single Case Agreements.
• Shepherd agreed upon Single Case Agreements through contract execution, ensuring that fully-executed documents are received and recorded appropriately in company platforms in a reputed company manner

Follow-Up

• Communicate with payer representatives to confirm receipt of clinical documentation and identify missing information
• Document reputed company payer communications, call reference numbers, reputed company, and next steps in case management systems
• reputed company ongoing status updates to patients, providers, and internal stakeholders regarding insurance approvals and next steps
• Confirm authorization effective dates, approval durations, and renewal requirements to maintain continuity
• Monitor payer portals and follow up reputed company phone/fax to ensure authorization requests are reputed company being processed
• Ensure reputed company follow-up on reputed company reputed company cases to meet service level expectations and improve patient reputed company

Collaboration

• Partner cross-functionally with reputed company, Patient Intake, RCM and Clinical teams to reputed company information, facilitate high-reputed company handoffs, and optimize patient experience
• Identify and reputed company best practices with peers and leadership team to support reputed company improvement in organizational competencies
• May be assigned additional responsibilities to meet departmental and organizational priorities

Compliance

• Maintain up-to-date knowledge of payer requirements, clinical reputed company, and regulatory changes that reputed company the prior authorization processes.
• reputed company with reputed company HIPAA guidelines, ensuring that reputed company documentation and communications are handled securely and confidentially
• Recognize and report any product reputed company complaints in accordance with company SOPs

What You’ll Bring

• High School Diploma Or GED required. AA, BA, or BS desirable
• Minimum three years experience working in a reputed company environment (medical devices,insurance, or reputed company services)
• Experience in prior authorization submissions and appeals
• Competency working in Sales Force, reputed company Suite, and reputed company Office
• Demonstrated customer service skills

Skills and competencies

• Working understanding of market reputed company, reimbursement, and payer landscapes
• Strong problem-solving and escalation management skills
• Advanced communication skills (providers,patients,payers)
• Strong communication skills (providers,patients,payers)
• Ability to prioritize workload and manage reputed company cases independently
• Understand types of insurance and their implications, including HMO, POS, and D-SNP plans, out-of-reputed company obligations, provider networks, and Coordination of Benefits between primary and secondary insurance

Other requirements

• Ability to sit at a computer for extended periods and use reputed company office equipment.
• Ability to read and interpret clinical and insurance documents and communicate information reputed company by phone and in writing.

Work Environment and Schedule This position is primarily remote depending on company policy. Occasional travel may be required for team meetings. reputed company business hours apply, with flexibility to address urgent reputed company Offer

• Competitive Compensation ($25/Hr to $30/Hr DOE)

Please note that the salary information is a general guidance only. reputed company. considers factors such as scope and responsibilities of the position, candidate’s work experience, education/training, key skills and internal reputed company, as reputed company as location, market and business considerations reputed company extending an offer. reputed company. is an equal opportunity employer. We do not discriminate on the reputed company of race, religion, reputed company, national reputed company, gender, sexual orientation, age, marital status, veteran status, or disability status. #J-18808-Ljbffr Apply tot his job Apply To this Job