New

$22 Reimbursement Case Manager | WFH!!

TEKsystems
$20.00 - $22.00 / hr
life insurance, sick time, 401(k), retirement plan
United States, North Carolina, Morrisville
Oct 25, 2025
We're looking for a detail-oriented Reimbursement Case Manager to support patients in accessing their prescribed therapies. This role involves navigating insurance processes, coordinating benefits, and ensuring timely approvals for treatment. Key Responsibilities: * Conduct benefit investigations for medical and pharmacy coverage. * Facilitate prior authorizations, step edits, and appeals. * Communicate with payers, providers, and patients to resolve access issues. * Maintain accurate records in compliance with program standards. * Escalate complex cases as needed, following program protocols. * Monitor and report changes in reimbursement policies and access barriers. * Understand patient health conditions relevant to the program. * Uphold confidentiality and ethical standards at all times. Required Skills & Experience: * 2+ years of experience in reimbursement, patient services, or case management. * Strong knowledge of Medicare, Medicaid, VA, DoD, and commercial insurance plans. * Experience with pharmacy and medical benefit processes. * Proficient in Salesforce and Quick Path platforms. * Comfortable with outbound calls to payers, providers, and patients. * Prior experience in a HUB or contact center environment is a plus. Preferred Qualifications: * Familiarity with pharmaceutical benefit workflows. * Experience working with field sales or reimbursement teams. * Ability to handle inbound transfers and third-party consent processes. * Strong communication and organizational skills. Top Skills: * Reimbursement & insurance verification * Prior authorization & benefits coordination * Case management & patient support * Salesforce proficiency Pay and Benefits The pay range for this position is $20.00 - $22.00/hr. Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following: * Medical, dental & vision * Critical Illness, Accident, and Hospital * 401(k) Retirement Plan - Pre-tax and Roth post-tax contributions available * Life Insurance (Voluntary Life & AD&D for the employee and dependents) * Short and long-term disability * Health Spending Account (HSA) * Transportation benefits * Employee Assistance Program * Time Off/Leave (PTO, Vacation or Sick Leave) Workplace Type This is a fully remote position. Application Deadline This position is anticipated to close on Oct 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.