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
