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For immediate consideration, please email your most up-to-date resume to:
?? khari.riles@remx.com
(Mention TX-PBCM in the subject line)
Our Fortune 500 pharmaceutical client is seeking experienced and detail focused Pharmacy Benefits Case Managers to join their remote team. This role is ideal for individuals with pharmacy, insurance verification, prior authorization, benefits investigation, or claims experience who are looking for a long term, stable work from home opportunity with equipment provided.
If you enjoy problem solving, reviewing claims, and helping patients gain access to their medications, this is an excellent opportunity.
APPLY TODAY.
Position: Pharmacy Benefits Case Manager
Pay: $19/hr, weekly pay plus benefits
Schedule: Monday through Friday, any 8 hour shift between 7:00am and 8:00pm
Equipment: Provided
Projected Start Date: December 2025
Requirement: Must be able to pick up equipment in Irving, TX
Key Responsibilities:
• Review, analyze, and process pharmacy and medical claims for accuracy and completeness
• Validate claim data against patient records, benefits, and policy information
• Handle inbound and outbound calls with patients regarding claim status, medication issues, or follow up needs
• Investigate discrepancies, missing documentation, or denial causes and determine required next steps
• Communicate proactively with patients, providers, and insurers to resolve claim related issues
• Research claim denials and determine corrective actions
• Document all case activities accurately within internal systems
• Maintain HIPAA compliance and confidentiality standards
• Meet productivity, accuracy, and turnaround expectations consistently
Requirements:
• Minimum 1 year of RECENT medical insurance, pharmacy, claims, or benefits experience required
(Examples include pharmacy tech, prior authorization, benefit investigation, insurance verification, medical office, PBM experience)
• Must be able to pick up equipment in Irving, TX
• Strong analytical and documentation skills
• Ability to manage multiple tasks and systems simultaneously
• Strong verbal and written communication skills
• Quiet home workspace that is distraction free
• High speed wired internet connection required. No mobile hotspots
• High School Diploma or equivalent
Why Join Us?
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Work-from-home flexibility (save time and money on commuting)
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Weekly pay and eligibility for benefits
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Be part of a team that makes a real difference in patients’ lives
?? Ready to apply?
For immediate consideration, please send an UPDATED resume to:
khari.riles@remx.com
(Subject line: TX-PBCM)
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