Job Opening: Remote $17/hr. Healthcare Insurance Specialist

Remote $17/hr. Healthcare Insurance Specialist

Waycross, GA

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Description

IMPORTANT:

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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 Healthcare Insurance Specialists to accompany their team!
This is the one for you!!!
APPLY TODAY!!!

 

Position: Healthcare Insurance 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:
    • Completing outbound calls to providers offices on behalf of the patient.
    • Verify medical necessity criteria and coverage guidelines for prior authorization with insurance payers.
    • Working 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: Must have 1 year or more 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
  • Basic computer proficiency (typing, data entry, navigating systems)
  • Strong attention to detail and accuracy
  • HS Diploma/Equivalent
  • Must live in the state of Texas, Georgia, Florida, Utah, or Kentucky to be considered

 

 

For Immediate Consideration:

Please email me with your up-to-date resume Kathryn.dugger@remx.com and mention "RIS" in the email subject line.

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