Posted on Oct. 6, 2017
RxCrossroads up to $15.50 per hour
(First & Mid Shift Positions Available)
Kelly Services has multiple openings for Case Managers at RxCrossroads! Work location is Bardstown Road in Beuchel.
Complete the "Quick Apply" at the top of the page for address to apply in person Monday - Friday 10 am -2 pm or to begin the application process online.
Education requirementsHigh School diploma or GED is required
Experience requirementsPrefer three years of experience in reimbursement case management, preferable in the insurance and/or pharmaceutical/biotechnology industry.
QualificationsProficient in all aspects of reimbursement (i.e. benefit investigation, prior authorization, pre-certification).
Knowledge of Medical Terminology
Deep understanding of drug reimbursement issues and claim adjudication process
Knowledge of HCPCS, CPT and ICD-9 coding
ResponsibilitiesAs a Case Manager you will monitor the processing of cases for patients with specialty pharmacy vendors and home health agencies to overcome delay in turnaround times and other obstacles. You will be in regular contact with vendors. Occasionally, you will contact physician offices, payers, specialty pharmacies, and pharmaceutical company representatives.
Work hours 8 am - 4:30 pm shift and 11:30 am - 8:00 pm shift