Match score not available

Medical Claims Specialist, Remote

EXTRA HOLIDAYS
Remote: 
Full Remote
Contract: 
Experience: 
Junior (1-2 years)
Work from: 
Texas (USA), United States

Offer summary

Qualifications:

Minimum 1 year of experience in medical claims, Professional communication skills, Medical claims processing and insurance verification experience, HS Diploma or equivalent.

Key responsabilities:

  • Process medical claims and pharmacy claims
  • Request prior authorizations and conduct benefits investigations
  • Assist patients with medical claims inquiries through calls
  • Gather and review patient billing and medical information
  • Ensure compliance with Federal Health Care Program guidelines
RemX | The Workforce Experts logo
RemX | The Workforce Experts Human Resources, Staffing & Recruiting XLarge https://www.remx.com/
1001 - 5000 Employees
See more RemX | The Workforce Experts offers

Job description

Logo Jobgether

Your missions

Description

RemX is hiring remote Medical Claims Specialist for our client who is a Fortune 500 Pharmaceutical company. Ideal candidate will have a minimum of 1 year of experience processing medical claims, prior authorizations, and benefits investigations.

Job Details

  • Processing medical claims.
  • Review pharmacy claims – denials, status, & reimbursements
  • Request prior authorizations.
  • Outbounds calls/ inbound calls assisting patients with medical claims related inquiries.
  • Perform medical benefits investigations.
  • Gathering and reviewing patient billing and medical information.
  • Operating according to the guidelines of the Federal Health Care Program.
  • Working with carriers to ensure coverage of medication or procedure on behalf of the patient.

Requirements

Must have 1 year or more of medical claims or benefit verification experience (NO EXCEPTIONS)

  • Professional communication skills
  • Medical Claims processing
  • Insurance Verification experience
  • Data entry
  • Great work attitude and willingness to help others.
  • HS Diploma/Equivalent.
  • Experience or knowledge of ICD-10, HCPCS, or CPT is a HUGE PLUS, not required.

Schedule: 8am-9pm EST. M-F (8hr Shift between these hours) ***Equipment Provided

For immediate consideration please complete application and email an up-to-date resume to: Yolanda.Deleon@remx.com

Apply Now

Applicant Privacy Policy

Required profile

Experience

Level of experience: Junior (1-2 years)
Industry :
Human Resources, Staffing & Recruiting
Spoken language(s):
Check out the description to know which languages are mandatory.

Hard Skills

Soft Skills

  • Professional Communication
  • Customer Service
loading