$17 / hr. REMOTE Medical Insurance Verification Specialist

RemX; Phoenix (AZ); Remote; USD 60,000 - 80,000; Full time

Job summary

A leading company is seeking a Medical Insurance Verification Specialist for a remote position. Ideal candidates should have at least one year of experience in medical benefits and prior authorizations. Responsibilities include verifying insurance coverage, preparing authorization requests, and communicating with patients and providers. This role offers weekly pay, paid training, and equipment provided.

Benefits

Paid Training

Equipment Provided

Qualifications

• At least 1 year of recent experience with Medical benefits & Prior Authorizations.
• Call Center experience is a plus but not required.

Responsibilities

• Complete outbound calls to providers' offices on behalf of the patient.
• Verify medical necessity criteria and coverage guidelines for prior authorization.
• Prepare and submit prior authorization requests to insurance companies.

Skills

Communication

Problem Solving

Attention to Detail

Job description

RemX will never ask for any form of payment prior to or throughout the hiring process. If you have been asked for payment of any kind, please notify us right away. This is illegitimate and unlawful.

RemX will never accept falsified resumes or documents. Falsified information may be subject to investigation and further action.

Are you a hard-working individual looking for a REMOTE work from home position?

Our Fortune 500 Pharmaceutical Client is looking for driven, friendly, and experienced Medical Insurance Verification Specialists to join their team!

This is the one for you!!!

APPLY TODAY!!!

Position : Medical Insurance Verification Specialist

• Pay : $17 / hr. Weekly Pay plus Benefits
• Paid Training!!!
• Equipment Provided
• Start Date : Early June 2025

Schedule : 8am-9pm EST. M-Fri. (Must be able to work ANY 8hr Shift between these hours)

• Responsibilities include but not limited to:

Completing outbound calls to providers' offices on behalf of the patient.

• Verify medical necessity criteria and coverage guidelines for prior authorization with insurance payers.
• Work with providers and payers to maximize patients' reimbursement.
• Prepare and submit prior authorization requests for medications, procedures, and services to insurance companies or pharmacy benefit managers.
• Inform patients of authorization status, delays, or additional requirements.
• Appeal denied authorizations and escalate urgent requests when appropriate.
• Monitor the status of pending authorizations and follow up with insurance carriers as needed.

Must have : At least 1 year of recent experience with Medical benefits & Prior Authorizations (NO EXCEPTIONS)

NO EXCEPTIONS

• Call Center experience is a plus but not required.
• Ability to multi-task and use dual monitors.
• Adhere to all company required KPI'S.
• Quiet workstation with High-Speed Internet and Modem access REQUIRED.
• Excellent verbal and written communication skills.
• Active listening and problem-solving ability.
• Strong attention to detail and accuracy.
• Must reside in Texas, Georgia, Florida, Utah, or Kentucky to be considered.

For Immediate Consideration :

Please email your up-to-date resume to [emailprotected] and mention "RIS" in the email subject line.