RemX is hiring remote Medical Claims Representative’s 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, including 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: Complete your application and email an up-to-date resume to: Yolanda.Deleon@remx.com
