Remote Care Manager – Call Center (171353)

A-Line Staffing is now hiring a Remote Care Manager – Call Center (171353). Please contact Staffing Manager, Tiona Scroggins @ [email protected]. 171353 Patient Care Manager Pay Rate: $20.00 per hour Assignment Dates: 09/08/2026 – 02/26/2027 Position Type: Temporary-to-Permanent (opportunity to extend and/or convert to a permanent position based on business needs and performance) Position Overview The Remote Care Manager is responsible for supporting patients throughout the healthcare access process by coordinating benefit investigations, insurance verification, prior authorizations, appeals support, medication access, and patient assistance services. This position serves as a key liaison between patients, healthcare providers, specialty pharmacies, insurance companies, and other stakeholders to ensure timely access to prescribed therapies and an exceptional patient experience.

Key Responsibilities

• Receive inbound and outbound calls from patients, healthcare provider offices, specialty pharmacies, and customers while striving for first-call resolution.
• Manage the entire patient care process from benefit investigation and verification through medication delivery.
• Conduct benefit verifications and collaborate with physicians, specialty pharmacies, insurance carriers, and healthcare providers to coordinate patient care.
• Assist with obtaining insurance requirements, prior authorizations, appeals, and coverage determinations.
• Educate patients regarding insurance coverage, out-of-pocket expenses, and available appeal processes.
• Resolve patient questions and concerns regarding assistance requests and case status updates.
• Maintain expertise in reimbursement processes and payer landscapes.
• Stay informed on Medicare, Medicaid, Managed Care, and Commercial Medical and Pharmacy benefit plans.
• Process patient enrollments received by fax, telephone, and electronic submission methods.
• Review enrollment forms and supporting documentation for completeness and accuracy.
• Identify missing information and ensure accurate database updates.
• Maintain high-quality service standards while managing multiple patient cases.
• Provide compassionate support and guidance throughout the patient journey.
• Accurately document all case activity and communications.

Required Qualifications

Education: High School Diploma or equivalent preferred. Industry Experience: 2–4 years of industry experience with patient-facing or high-touch customer interaction experience preferred. Patient Support Experience: Previous Hub Services or Patient Support Services experience preferred. Insurance Knowledge: Knowledge of Medicare (Parts A, B, C, and D), Medicaid, and Commercial payer policies and coverage guidelines preferred. Pharmaceutical Knowledge: Strong understanding of pharmaceutical therapies, disease states, and medication adherence challenges preferred. Communication Skills: Excellent written, verbal, mediation, and problem-solving skills. Interpersonal Skills: Strong people skills demonstrating flexibility, persistence, creativity, empathy, and trust. Computer Skills: Strong computer literacy skills including data entry and proficiency with Microsoft Office applications. Knowledge and Skills Needed for Success Patient Advocacy: Ability to support patients through complex insurance and medication access processes. Insurance Navigation: Understanding of benefit verification, reimbursement processes, prior authorizations, and appeals. Patient Care Coordination: Ability to manage multiple patient cases while ensuring a positive and seamless patient experience. Problem Solving: Strong analytical and critical-thinking skills to resolve complex patient access challenges. Attention to Detail: Ability to thoroughly review documentation and identify missing or incomplete information. Customer Service: Strong commitment to delivering a supportive, compassionate, and professional patient experience. What Is Expected at This Level Policy & Procedure Application: Effectively apply company policies and procedures to complete a variety of assignments. Technical Expertise: Demonstrate in-depth knowledge within a technical or specialty area. Independent Problem Solving: Apply advanced skills to independently resolve complex issues. Process Improvement: May modify processes when necessary to successfully resolve situations. Independent Work: Work independently within established procedures and guidelines while receiving general guidance on new assignments. Team Support: May provide technical assistance and guidance to less experienced team members. Training Information Training Schedule: 8:00 AM – 5:00 PM CST Training Requirement: Mandatory attendance is required throughout training. Work Schedule Hours: Full-time, 40 hours per week. Schedule Flexibility: Employees must have flexibility to work assigned shifts during business operating hours. Business Hours: Monday through Friday, 7:00 AM – 8:00 PM CST. Remote Work Requirements Work Environment: Dedicated, quiet, private, and distraction-free workspace required. Equipment Provided: Company-issued computer, technology, and equipment will be provided. Internet Responsibility: Employee is responsible for maintaining qualifying high-speed internet service. Internet Requirements Connection Type: DSL, Cable, or Fiber broadband connection required. Not Acceptable: Dial-up, Satellite, Wi-Fi-only, or Cellular internet connections. Minimum Download Speed: 15 Mbps Minimum Upload Speed: 5 Mbps Maximum Ping Rate: 30 ms Network Connection: Hardwired connection directly to the router required. Equipment Protection: Surge protector with network line protection required for company-issued equipment.

Benefits

• Benefits are available to full-time employees after 90 days of employment.
• A 401(k) with company match is available after 1 year of service.

INDKS Pay: $20.00 per hour Benefits:

• Dental insurance
• Health insurance
• Life insurance
• Vision insurance

Application Question(s):

• Do you have knowledge of Medicare (Parts A, B, C, and D), Medicaid, and Commercial payer policies and coverage guidelines? Please specify in the below box:

Education:

• High school or equivalent (Required)

Experience:

• Care Coordination:: 2 years (Required)

Work Location: Remote