Bilingual Case Manager

A company is looking for a Bilingual (Spanish) Case Manager, Reimbursement.

Key Responsibilities

Oversee and coordinate caseload to ensure timely completion of all case elements and tasks

Act as the single point of contact for prior authorization and appeal processing communications

Assess and refer patients for special programs / services and perform quality checks on cases

Required Qualifications

Bachelor's degree or six years of relevant working experience

Two or more years of relevant experience in pharmacy benefit management preferred

Experience as a Medical Assistant, Social Worker, or Senior Reimbursement Specialist preferred

Proficient in Microsoft Office applications

Knowledge of medical and claims processing terminology