What are the responsibilities and job description for the Remote Bilingual Executive Case Manager | WFH position at Get It - Hospitality?
Job Overview
We are in search of a dedicated and bilingual professional to fill the role of Bilingual Executive Case Manager, fully remote. This position is ideal for individuals who have a fervent commitment to assisting others in overcoming intricate healthcare issues. Fluency in Spanish, combined with exceptional problem-solving capabilities, will empower you to significantly impact patients’ lives by facilitating their access to vital medications.
Key Responsibilities
Join a growing organization that prioritizes employee development and actively promotes from within, providing numerous avenues for professional advancement.
Company Culture And Values
We are proud to be recognized as one of the “Best Places to Work,” championing diversity and inclusion within a supportive environment that encourages employee success.
Compensation And Benefits
We are in search of a dedicated and bilingual professional to fill the role of Bilingual Executive Case Manager, fully remote. This position is ideal for individuals who have a fervent commitment to assisting others in overcoming intricate healthcare issues. Fluency in Spanish, combined with exceptional problem-solving capabilities, will empower you to significantly impact patients’ lives by facilitating their access to vital medications.
Key Responsibilities
- Advocate for patients throughout the entire process of obtaining prescribed medications.
- Conduct benefit investigations, manage prior authorizations, and oversee appeals.
- Deliver expert guidance on insurance coverage and navigate access and reimbursement challenges.
- Educate both patients and healthcare providers on available support tools and eligibility criteria.
- Cultivate and maintain trusting relationships with patients, prescribers, and stakeholders through effective communication.
- Handle incoming calls and offer tailored case management services.
- Leverage electronic resources to ascertain benefits and payer coverage.
- Document all interactions and activities meticulously within our systems.
- Generate necessary reports and perform analyses as required.
- Fluency in both English and Spanish is essential.
- Strong understanding of medical terminology, coding systems, and insurance processes.
- Excellent attention to detail and superior organizational skills.
- Proficient written and verbal communication abilities.
- Strong critical thinking and problem-solving skills.
- Familiarity with healthcare compliance regulations, including HIPAA and Medicare/Medicaid guidelines.
- A Bachelor's degree in healthcare administration, social science, or a related field is preferred; alternatively, candidates with five years of relevant experience will be considered.
- A minimum of two years of experience in insurance reimbursement, patient access, direct patient care, or patient education.
- Preferred: at least two years of experience in healthcare access delivery or management.
Join a growing organization that prioritizes employee development and actively promotes from within, providing numerous avenues for professional advancement.
Company Culture And Values
We are proud to be recognized as one of the “Best Places to Work,” championing diversity and inclusion within a supportive environment that encourages employee success.
Compensation And Benefits
- Competitive salary and comprehensive benefits package.
- Company-paid short-term disability and excellent medical, dental, and vision benefits with a substantial portion of medical premiums covered.
- Access to a complimentary concierge medical clinic, wellness discounts, and annual HSA contributions.
- Paid parental leave and both company-paid and voluntary life insurance options.
