Patient Access Case Manager

A company is looking for a Patient Access Case Manager.

Key Responsibilities

Manage patient cases through the insurance authorization and appeal process

Draft appeals and communicate with health plans regarding authorization requests

Document case activities and monitor payer trends related to approvals and denials

Required Qualifications

2+ years of experience in pain management or spine prior authorization roles

Experience in reviewing clinical records and submitting prior authorization requests

Ability to interpret procedure denials and draft appeals

Familiarity with payer coverage criteria

2+ years of experience utilizing software systems for task management