IMPORTANT:
-RemX will never ask for any form of payment prior to or throughout the hiring process. If you have been asked for payment of any kind, please notify us right away. This is illegitimate and unlawful.
-RemX will never accept falsified resumes or documents. Falsified information may be subject to investigation and further action.
THRIVING HEALTHCARE COMPANY IN SEARCH OF RELIABLE & COMPASSIONATE INSURANCE SPECIALIST TO MANAGE PATIENTS BENEFITS AND CLAIMS FOR THEIR PRESCRIPTIONS.
**Join a collective effort aimed at making a difference**
- Position: REMOTE- Medical Benefits and Claims Specialist
- Pay: $19/Hr.+ Weekly pay and full time hours.
- Projected Start Date: January 2026
- Schedule: Will be assigned an 8-Hr. Shift M-F between 8a-9p MST. (MUST BE ABLE TO ACCEPT ANY SHIFT)
- MUST BE A ARIZONA RESIDENT
- Paid Comprehensive Training: Get all the tools and support you need to excel in your role.
Responsibilities:
- Inbound/outbound calls (MUST BE OK WITH BOTH) to patients, guarantors, payers, and payees.
- Work with healthcare providers and patients to assist with appeal management for claim denials.
- Work with physicians and payers to advocate for product-specific coverage.
- Ability to communicate product benefits and efficacy to positively influence payer policy.
- Review case outcomes to analyze and identify payment and denial trends as well as key findings for client reporting.
Requirements:Must have 1 year or more of recent medical benefits/medical claims exp.
-
Demonstrated experience handling prior authorizations or performing in a comparable role
-
Call center experience preferred, but not required
-
Strong working knowledge of medical terminology, coding, and billing practices, including ICD-10, CPT, and HCPCS
-
Proficiency in medical billing software and the Microsoft Office Suite
-
Positive, professional work ethic with a collaborative and service-oriented mindset
-
Ability to maintain a reliable high-speed internet connection, including modem access, within a quiet, distraction-free workspace
For immediate consideration: Apply online www.remx.com
Once completed email your updated resume to charise.mcclain@remx.com and mention Medical Claims Rep in email subject line.