Job Description
Job Description
RemX is hiring remote Medical Claims Specialist for a Fortune 500 Pharmaceutical company. Ideal candidate will have a minimum of 1 year of experience processing medical claims.
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 have1 year or more of Medical claims or benefit verification experience (NO EXCEPTIONS)
- Professional communication skills
- Medical Claims processing
- Insurance Ver
- 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!
Schedule: 8am-9pm EST. M-F (8hr Shift between these hours)
Company Description
The professional staffing division of EmployBridge, America's Leading Workforce Specialist:
When our Talent is looking for their next opportunity, we know they are not just looking for their next paycheck. Our Recruiters are experts in their specialized fields and understand that making the right match between the candidate and the company, is the key to long term success.
We are an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, and other legally protected characteristics.
Company Description
The professional staffing division of EmployBridge, America's Leading Workforce Specialist: When our Talent is looking for their next opportunity, we know they are not just looking for their next paycheck. Our Recruiters are experts in their specialized fields and understand that making the right match between the candidate and the company, is the key to long term success. We are an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, and other legally protected characteristics.