Job Description

TalentBridge, a leader in the professional staffing industry, is seeking candidates for a contract opportunity as Reimbursement Case Manager . The Reimbursement Case Manage is responsible for customer service, case management, reimbursement as well as working interactively with patients, healthcare providers, pharmacies, and manufacturer clients.


  • Acts as a single point of contact and voice for all providers and patients.
  • Serves as a patient advocate and enhances the caller/contact experience
  • Manages case load depending on the parameters of the program
  • Collects and review all patient information, to the degree authorized by the SOP of the program
  • Validates completeness of all required information and provides assistance to provider and/or patient
  • Determines patient's eligibility and conducts patient enrollment activities (example patient assistance programs and copay assistance)
  • Performs reimbursement related activities such as benefit investigations, prior authorizations, appeals, etc.
  • Provide exceptional customer service to internal and external customers; resolves any customer requests in a timely and accurate manner; escalates complaints accordingly
  • Maintain frequent phone contact with patients, provider representatives, third party customer service representatives and pharmacy staff
  • Reports all Adverse Events (AE) disclosed in alignment with training and Standard Operational Procedures (SOP)


  • Ability to multi-task and adapt to changing priorities
  • Competency in MS Word and Excel
  • Knowledge of HIPAA regulations
  • Detailed oriented and highly organized
  • Knowledge of pharmacy benefits, and medical benefits
  • Global understanding of commercial and government payers preferred
  • Ability and initiative to work independently or as a team member


  • Previous 3+ years of experience in a specialty pharmacy, medical insurance, reimbursement hub experience, physician's office, healthcare setting, and/or insurance background preferred
  • Bachelor's Degree Preferred

*** Candidates considered for these roles will need to be in one of the following states: Alabama, Arizona, Arkansas, Colorado, Connecticut, Delaware, Florida, Georgia, Illinois, Indiana, Iowa, Kentucky, Maryland, Michigan, Minnesota, Missouri, Montana, New Jersey, New York, North Carolina, Ohio, Oklahoma, Oregon, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, or Virginia. ***

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Charlotte, NC
All Remote

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