Remote Pharmacy Claims Specialist

RemX; Phoenix (AZ); Remote; USD 22.000 - 31.000; Vollzeit

Benefits dieser Stelle

Remote work

Zusammenfassung

RemX is seeking a Pharmacy Claims Specialist for a remote, contract role. Multiple openings available nationwide, with a pay rate of $19.00 per hour, full-time schedule Monday through Friday, 8-hour shifts between 8 AM and 8 PM.

You will support claims processing and revenue cycle operations from home, handling calls, prior authorizations, eligibility verification, and coordination with providers, pharmacies, and insurers.

Qualifikationen

• 1+ year of recent experience in medical benefits, claims, billing, or prior authorizations.
• Knowledge of medical terminology, insurance claims, and benefits verification.
• Strong communication and customer service skills.
• Ability to manage multiple tasks in a fast-paced environment.
• Excellent attention to detail.
• High-speed internet with modem access required (hotspots not accepted).

Aufgaben

• Handle inbound and outbound calls
• Process prior authorization requests
• Verify insurance eligibility, benefits, and coverage
• Coordinate with providers, pharmacies, and insurance companies
• Ensure accurate and timely documentation and processing

Kenntnisse

1+ year experience in medical benefits

Claims/billing knowledge

Prior authorizations

Strong communication

Customer service

Jobbeschreibung

RemX is seeking a Pharmacy Claims Specialist for a remote, contract role. Multiple openings available nationwide, with a pay rate of $19.00 per hour, full-time schedule Monday through Friday, 8-hour shifts between 8 AM and 8 PM.

You will support claims processing and revenue cycle operations from home, handling calls, prior authorizations, eligibility verification, and coordination with providers, pharmacies, and insurers.