New

Reimbursement Case Manager

TEKsystems
$37,440.00 - $45,760.00 / yr
401(k)
United States, North Carolina, Morrisville
Jul 16, 2025
Job Posting: Reimbursement Case Manager Employment Type: Full-Time Experience Level: Entry Level Industry: Healthcare \| Pharmaceutical Access & Benefits Coordination About the Role We're hiring Reimbursement Case Managers to support patients and healthcare professionals in navigating complex insurance systems and benefit programs. This role is ideal for those passionate about improving access to care, solving reimbursement challenges, and being a trusted resource in healthcare coordination. Key Responsibilities * Serve as an expert in reimbursement, co-pay assistance, and benefit coordination. * Explain insurance coverage and support options across all payer types (commercial, Medicare, Medicaid, VA, DOD). * Manage insurance benefit investigations and triage referrals. * Resolve payer-related challenges by asking critical questions and applying program knowledge. * Escalate complex cases following program SOPs and policies. * Support prior authorization and appeals processes. * Maintain documentation in the case management system and ensure data accuracy. * Identify and report pharmacovigilance concerns (e.g., Adverse Events) per client protocols. * Partner with program managers to share insights, feedback, and patient status updates. * Deliver outstanding customer service while upholding brand and program values. * Protect confidential data and adhere to training and compliance requirements. Required Skills * Insurance verification * Prior authorization handling * Case management and documentation * Medicare Part D knowledge * Pharmaceutical benefit delivery * Benefit investigation * Understanding of health insurance processing Qualifications Education & ExperienceRequirementsPreferredAssociate/Bachelor's degree + 2 years in reimbursement, insurance, healthcare billing, or health insuranceAlternativeHigh school diploma + 5 years in a similar healthcare or insurance-related role What We Value * A positive, team-oriented mindset * Strong ethical standards and discretion * Proactive communication and problem-solving * Passion for healthcare access and equity If you're ready to advocate for patients and make reimbursement less complicated, we want to meet you. Pay and Benefits The pay range for this position is $37440.00 - $45760.00/yr. 401K w/ 5% matching; day-1 vestment period 15 days PTO 8 Holidays + 2 Floating Days Health/Dental/Vision/Life; Coverage day-1 Gym Reimbursement Volunteer Hours Flexibility/Hybrid/Remote** Workplace Type This is a hybrid position in Morrisville,NC. Application Deadline This position is anticipated to close on Jul 29, 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.