Case Management Specialist

Job Title : Patient Support Manager (PSM)Location: Lexington MADuration: 3+ months (Temp to Hire)Hybrid- Remote w/ a couple of days in the officeWorks in a highly visible, strong team environment to provide exceptional Customer Service on all levels.Specifically, listen to and counsel patients and medical professionals, interpreting their specific needs and providing friendly, professional and well-informed answers to their questions.PSM's will work with patients, physician offices, partners and insurance companies to case manage all steps required to gain access to therapy.Maintain relationship with patients and physicians to ensure ongoing compliance with therapy.Works closely with patient/family to case manage all steps required to gain access to therapyActs as the liaison with medical officesWork with Specialty Pharmacy and insurance companies to obtain reimbursement informationPerform benefit investigations with insurance companies as requiredCounsel patient/family on reimbursement optionsManage patient transition to products.Work with nurses to provide injection/infusion training to patientsResponsible for maintaining case history for all assigned patients in the CRM systemTrouble shoot and resolve ongoing reimbursement issues (step edits, insurance changes, PA's, etc)Partner with Field Regional Business Managers and Patient Access Managers to manage all patient cases within their assigned territoriesProfessionally field incoming telephone calls while making a positive impressionAnswer patient and medical office inquiries and resolve customer problemsProvide ongoing persistency and compliance support by making regular calls to patient/familiesManage patient assistance requests and work with partners to process applicationsProvide back-up coverage for other Patient Support ManagersMay attend patient meetings and represent at industry conferencesTravel to sales meetings and medical offices as necessaryPrior reimbursement experience with ability to communicate complex reimbursement scenarios to patients and medical professionals.Living our leadership behaviors is a basic expectation for all employees.Ability to multi task, problem solve and work independentlyLiaison with patients and familiesLiaison with physicians and sites of careWork with specialty pharmacy partners, insurance companies and nursing agenciesWork with Regional Business Managers, Patient Access Manager and Managed Care/Government Accounts teamIndividual must possess and portray strong emotional resilienceIndividual must possess extraordinary positive attitude, exceptional listening skills, and strong verbal and written communication skillsAbility to handle sensitive informationAbility to problem solve complex reimbursement scenarios and recommend solutionsAbility to maintain composure and remain professional during difficult patient or medical callsEducation:BA/BS in the life sciences or communications preferred3 -5 years of prior case management experience preferredDexian is a leading provider of staffing, IT, and workforce solutions with over 12,000 employees and 70 locations worldwide. As one of the largest IT staffing companies and the 2nd largest minority-owned staffing company in the U.S., Dexian was formed in 2023 through the merger of DISYS and Signature Consultants. Combining the best elements of its core companies, Dexian's platform connects talent, technology, and organizations to produce game-changing results that help everyone achieve their ambitions and goals.Dexian's brands include Dexian DISYS, Dexian Signature Consultants, Dexian Government Solutions, Dexian Talent Development and Dexian IT Solutions. Visit to learn more.Dexian is an Equal Opportunity Employer that recruits and hires qualified candidates without regard to race, religion, sex, sexual orientation, gender identity, age, national origin, ancestry, citizenship, disability, or veteran status.

Created: 2025-01-25