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Market Access Case Manager – Contract
KanduMarket Access Case Manager managing prior authorization processes for IpsiHand medical device. Reviewing medical records and collaborating with insurance companies to ensure coverage.
About the role
Key responsibilities & impact- Manage the prior authorization process for patients seeking insurance coverage for the IpsiHand Rehabilitation system.
- Review prescriptions, medical records, letters of medical necessity, and case documentation provided by intake specialists for accuracy and completeness.
- Develop patient-specific tactics and narratives to support medical necessity and positive coverage decisions.
- Prepare, assemble, and submit prior authorization requests to health plans.
- Serve as primary point of contact for insurance companies, ensuring timely and accurate processing of prior authorization requests.
Requirements
What you’ll need- High School Diploma Or GED required.
- Minimum three years experience working in a healthcare environment (medical devices, insurance, or healthcare services)
- Experience in prior authorization submissions and appeals
- Competency working in SalesForce, Google Suite, and Microsoft Office
- Ability to sit at a computer for extended periods and use standard office equipment.
- Ability to read and interpret clinical and insurance documents and communicate information clearly by phone and in writing.
Benefits
Comp & perks- Competitive Compensation
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
prior authorization submissionsmedical necessity documentationcase documentation review
Soft Skills
communicationattention to detailorganizational skills
Certifications
High School DiplomaGED