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Patient Access Case Manager

Company: VirtualVocations
Location: Vista
Posted on: May 17, 2025

Job Description:

A company is looking for a Patient Access Case Manager.
Key Responsibilities

Manage patient cases through the insurance authorization and appeal process
Draft appeal letters and monitor payer communications until final determination is made
Document case activity and communicate effectively with internal and external stakeholders

Required Qualifications

2+ years of experience in a pain management or spine prior authorization role
Experience with reviewing clinical records and submitting prior authorization requests
Understanding of payer coverage criteria and experience in drafting appeals
2+ years of experience utilizing software systems for task management
High school diploma

Keywords: VirtualVocations, Chino Hills , Patient Access Case Manager, Executive , Vista, California

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