Most Loved Workplace® Certified Job

Case Manager / RN

Most Loved Workplace® Certified Job

92% of candidates apply because they are a Most Loved Workplace®

Remote

About the Role

At MedWatch, LLC., a Most Loved Workplace® certified employer in the Hospital & Health Care space, Reshaping Healthcare with Compassion, Innovation, and Integrity.

This is a critical senior level customer service position requiring excellent customer interaction skills along with critical thinking. This individual is expected to accurately service and satisfy customers by responding to customer inquiries regarding health benefits including precertification based on the employer’s / Third Party Administrator’s contract with MedWatch. Concierge/Customer Service Representative Floater needs to be versatile and equipped with a strong skill set to handle the complexity of the job and the ability to assist callers in both the Concierge and Intake departments.

Want to learn more about what it's like to work at MedWatch, LLC.? View our full profile.

Requirements

Strong customer relations, interpersonal skills.
Strong appreciation and ability to handle confidential & sensitive information.
Proficient with Microsoft applications, strong computer skills and computer navigation.
Excellent data entry and typing skills.
Knowledge of provider organizations and networks.
Knowledge and understanding of CMS Medicare reimbursement rates.
Ability to effectively negotiate rate structures.
Patience and ability to handle difficult situations tactfully and diplomatically.
Takes initiative to resolve situations and to accomplish projects actions and tasks.
Excellent verbal and written communication skills.
Independent judgment in decision making and problem solving.
Ability to multi-task & anticipate potential needs/problems.
Ability to build relationships with internal and external customers.
Medical Terminology
Strong attention to detail.
Understanding of Self-Funded health benefits a plus.
Health Payor background preferable in self-funded industry a plus
Claim processing skills a plus.
Insurance verification or pre-certification a plus
Provider office/facility billing department or financial area
TPA experience a plus.
Strong analytical and research skills
Bilingual a plus
Associate degree or higher preferred but not required, Minimum High School Diploma or G.E.D.
Two Years Customer Service / Call Center experience in a health care related role.
Medical Intake experience a plus

Benefits

Paid time off
Medical
Dental
Vision
Short and long-term disability
Life insurance
AD&D
401k with match
Critical illness coverage
Legal plan
Identity theft coverage
Pet insurance
Discount programs

Prefer to apply on the company's career site?

View Original Posting

Why This Is a Most Loved Workplace® Certified Job

What It's Like to Work Here

heart-handshake Putting Care Back in Healthcare

lightbulb Evidence-Driven Problem Solving

users Collaborative Partnership Culture

trending-up Growth-Oriented Mindset

shield-check Integrity in Every Decision

Certified for: Most Loved Workplace Most Loved Workplaces® 2026, Most Loved Workplace Most Loved Workplaces® 2025, Most Loved Workplace Most Loved Workplaces® 2021

Frequently Asked Questions About Working at MedWatch, LLC.

Common questions candidates ask about this role and MedWatch, LLC.'s workplace

For over 35 years, MedWatch has partnered with clients to develop innovative and effective solutions to address their needs. By mitigating risk within the plan population and focusing on quality care and improved outcomes, MedWatch reduces healthcare expenditures for the plan and plan member.

This position is listed as remote based on the job location.

Salary information may vary by role and location. Please check the specific job listing or discuss compensation during the interview process.

MedWatch, LLC. is an established organization in its industry. The company is a certified Most Loved Workplace®, highlighting a strong, positive culture and committed workforce.

Key benefit categories include: Health & Wellness, Professional Development, Work-Life Balance, Compensation & Retirement. For this role specifically, benefits include: Paid time off, Medical, Dental, Vision, Short and long-term disability, Life insurance, AD&D, 401k with match, Critical illness coverage, Legal plan, Identity theft coverage, Pet insurance, Discount programs. You can view more details on their CertCheck profile.

The day-to-day environment is guided by core values such as Putting Care Back in Healthcare and Evidence-Driven Problem Solving and Collaborative Partnership Culture.

The company has committed to inclusive practices including: Compassionate Care at Every Level and Evidence-Based Excellence.

They have earned Most Loved Workplace® certifications including: Most Loved Workplace Most Loved Workplaces® 2026 and Most Loved Workplace Most Loved Workplaces® 2025.

MedWatch, LLC. currently has 5 open positions. You can view all current openings at certcheck.mostlovedworkplace.com/companies/medwatch-llc/jobs.

The interview process typically involves an initial recruiter screen followed by team interviews. Please contact MedWatch, LLC.'s recruiting team for specific details on this role's process.