Pharma Claims Specialist - Data-Driven & Detail-Focused

Mindlance; Florida; On-site; USD 22,041; Full time

Job summary

A national recruiting company is seeking a Business Claim Specialist to verify and process claims in a fast-paced environment. Candidates should have a high school diploma or equivalent, strong data entry skills, and be detail-oriented. The position operates from Monday to Friday and offers a pay rate of $16.00/hr for a contract duration of 5 months. Successful candidates will manage claims processing while adhering to HIPAA regulations and client guidelines.

Qualifications

• High school diploma or equivalent required, some college or technical training preferred.
• Two years’ experience in a P.B.M. environment is helpful but not required.
• Strong data entry, 10-key skills, general PC skills and MS Office experience.

Responsibilities

• Verify member submitted claims forms and eligibility.
• Process claims according to client specific guidelines.
• Manage client expectations related to claim reimbursements.
• Identify claims requiring additional research.
• Evaluate claim submissions for required information.

Skills

Strong data entry

10-key skills

Attention to detail

Proficient written and oral communication skills

Education

High school diploma or equivalent

Some college or technical training

Tools

MS Office

Job description

A national recruiting company is seeking a Business Claim Specialist to verify and process claims in a fast-paced environment. Candidates should have a high school diploma or equivalent, strong data entry skills, and be detail-oriented. The position operates from Monday to Friday and offers a pay rate of $16.00/hr for a contract duration of 5 months. Successful candidates will manage claims processing while adhering to HIPAA regulations and client guidelines.