About this opportunity
AccountStaff, Inc. lists this Case Manager opportunity in pittsburgh, Pennsylvania. Review the employer’s description below for duties, qualifications and application requirements.
Job description
Case Manager (Care Coordination)
Make a meaningful impact on patients' lives by guiding them through the healthcare continuum and helping remove barriers to therapy. In this onsite Case Manager role, you'll support customers living with chronic illness by coordinating care, navigating insurance and reimbursement requirements, and partnering closely with patients, provider offices, insurance companies, specialty pharmacies, and internal teams. You'll use sound judgment, strong communication, and a patient-first mindset to keep cases moving forward—resolving issues efficiently while maintaining accuracy, discretion, and compliance.
Required Skills:
Strong verbal and written communication skills with a professional, courteous approach
Customer-focused mindset with the ability to build relationships across multiple stakeholders (patients, providers, payers, pharmacies, internal partners)
Case coordination and follow-through skills, including triaging needs and driving timely resolution
Ability to manage sensitive situations and handle opposing viewpoints with tact and discretion
Working knowledge of insurance benefits, coverage requirements, and reimbursement-related processes
Strong documentation habits and comfort maintaining accurate case records in a database
Independent work style with the ability to juggle multiple cases/tasks and meet deadlines
Mediation and problem-solving skills, including navigating approvals, denials, and appeals
Nice to Have Skills:
Spanish language ability
Experience with benefit investigations, prior authorizations, appeals, or patient assistance programs
Familiarity with billing/coding nuances, payer trends, and financial assistance/charitable resources
Background in customer service, medical, or insurance environments
Experience supporting special projects, training/orientation, or process improvement efforts
Preferred Education and Experience:
Bachelor's degree (or equivalent) in a related area—preferably Health Care, Social Work, or Nursing
Minimum of 3 years of recent experience with health care insurance benefits, relevant laws/regulations, and insurance processes
Prior exposure to case management, utilization review, home care management, reimbursement support, or patient advocacy preferred
Other Requirements:
Onsite role
If you're ready to help patients navigate complex coverage challenges while driving real outcomes with a team that values Passion, Innovation, Integrity, and Accountability, apply today.
Worksite address
pittsburgh, PA, 15289, US
Who can apply
Review the original listing for work authorization, qualifications and employer requirements.