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

Remote, USA Full-time Posted 2025-04-16

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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