REMOTE $19/hr. Experienced Prior Auth & Medical Claims Specialist-FLORIDA

Remote, USA Full-time Posted 2025-07-18
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Are you looking for an amazing work from home opportunity? Our Fortune 500 Pharmaceutical Client is looking for driven, friendly, and experienced Prior Authorization & Medical Claims Specialists to Join their REMOTE TEAM... If you?re ready to make a difference and grow with a company that cares, apply today to become a valued member of our team! Position: Prior Authorization & Medical Claims Specialist Pay: $19/hr. Weekly Pay plus Benefits Schedule: 8am-9pm EST. M-F (8hr Shift between these hours) ? *Equipment Provided and shipped directly to your home** ? ***Must live in the states of Arizona, Kentucky, Florida, Texas, Utah or Atlanta to be considered**** Start Date: Early October 2024 Job Details: ? Processing medical claims via electronic fax. ? May perform some outbounds calls and take some inbound calls assisting patients with medical related inquiries. ? Perform medical benefits investigations ? Using computer skills for data entry. ? 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 on behalf of the patient. Requirements: Must have 1 year or more of Medical benefits/ Prior Authorization experience (NO EXCEPTIONS) ? Previous experience in a Medical call center environment, or related field preferred but not required. ? Ability to multi-task and use dual monitors. ? Great work attitude and willingness to help others. ? HS Diploma/Equivalent. ? Demonstrated ability to handle inquiries, complaints, and feedback with professionalism and empathy. ? Strong problem-solving skills to resolve issues effectively and efficiently. ? Ability to remain calm and courteous under pressure and in challenging situations. For Immediate Consideration: Please email an up-to-date resume to Charise.mcclain@remx.com and mention ($19/hr. Medical Claims Specialist) in the email subject line

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