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

Remote, USA Full-time Posted 2025-06-13

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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