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

Remote, USA Full-time Posted 2025-03-08

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 [email protected] and mention ($19/hr. Medical Claims Specialist) in the email subject line

Apply Job!

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