Louisville, KY

Are you looking for a new career in the medical field? LOOK NO FURTHER! A Fortune 500 healthcare company in Louisville, Ky is seeking experienced Case Managers to provide excellent customer service in a medical call center environment.

As a Case Manager, you will monitor the processing of cases for patients with specialty pharmacy vendors and home health agencies to overcome delay in turnaround times and other obstacles. The Case Manager will be in regular contact with vendors and will occasionally contact physician offices, payers, specialty pharmacies, and pharmaceutical company representatives.

Key Responsibilities:

• Monitors drug shipments
• Work with vendor contacts (specialty pharmacies and/or home health agencies) to expedite approval and delivery of medication
• Understand reasons for denial and take appropriate actions to resolve case 
• Triage cases to appropriate specialty pharmacy if appropriate in a timely manner 
• Provide consultative services where issues arise on how obstacles can be overcome in order to get patient approved
• Obtains missing patient and vendor information
• Maintains all patient confidentiality

About RemX:

RemX is the professional staffing division of EmployBridge, America's Leading Workforce Specialist.

When our Talent is looking for their next opportunity, we know they are not just looking for their next paycheck. Our Recruiters are experts in their specialized fields and understand that making the right match between the candidate and the company, is the key to long term success.

We are an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, and other legally protected characteristics.

Tired of working every weekend? Looking for a position where you can actually help people? Do you have a passion for helping people and providing good customer service? Do you like to work hard and have experience in customer service such as retail, hospitality, call center, serving, or bartending? Are you looking to start a new career in the medical field? Then we have the position you are looking for. 

RemX is hiring for Customer Service Representatives in a Medical call center. This is a contract to permanent position with a Fortune 500 Medical Company. We are looking for people to fill shifts Monday - Friday between 8 am-8 pm. Pay rate is $15.00 an hour.

We offer weekly pay, referral programs, Online classes to help improve your skills or college level classes. Friendly work environment and place to grow your career.

Job Responsibilities include:

• Answering inbound calls and making outbound calls.
• Providing good customer service.
• Using computer skills for data entry.
• Gathering and reviewing patient billing and medical information.
• Gaining authorizations for services and products.
• Handling coordination of benefits to ensure claims are reimbursable.
• Operating according to the guidelines of the Federal Health Care Program.
• Working with carriers to ensure coverage of medication on behalf of the patient.

Do you have at least 6 months experience with medical insurance? Are you looking to work with a company where you can advance your career and grow? We have Benefits Insurance Specialist (Case Manager) positions starting at the beginning of December. These are temp to hire positions. Not just seasonal. 

As a Benefits Insurance Specialist (Case Manager), you will have the opportunity to grow in your career, while helping others! The pay rate is $15.50/hour and candidates must have availability to work ANY shift, Monday-Friday between the hours of 8:00 am -8:00 pm. 

Insightful Training. Helpful Co-workers. Managers that Care. A place to build your career.

That’s what our Patient Call Center Representatives and Benefits Insurance Specialist say about the Louisville team. If you are looking for a job opportunity with friendly, supportive co-workers and managers who are committed to your success, then apply today, and find out why our Benefits Insurance Specialist (Case Manager) team say they have supportive managers, great co-workers, and receive the training they need to succeed in their job! “I enjoy working with the patients. The work atmosphere is positive and pleasant.” Benefit Insurance Specialist/Case Manager - Middletown location.

Key Responsibilities:

• Contact payers to verify patient eligibility and product specific coverage information.
• Interface with physicians, advocates, patients, and manufacturer representatives to obtain and provide drug specific coverage.
• Provide prior authorization assistance as well as claims assistance, including billing and coding instructions to physicians and/or office staff.
• Provide accurate and timely follow up to all reimbursement inquiries.
• Ensure that the intake information is accurate and complete in order to perform all reimbursement research.
• Research and compile payer specific information for reimbursement database.
• Utilize internal resources to identify and provide alternate funding sources for patients without insurance or adequate coverage through their insurer.
• Make outbound calls to insurance companies and medical offices to gather patient billing and medical information to determine if patient's diagnosis qualifies and products are covered.
• Manage cases to help advocate for patient's medications to be covered.