Remote Medical Benefits Specialist - Join Our Fortune 500 Pharmaceutical Client's Healthcare Team as a Detail-Oriented Professional with a Competitive $17/hr Salary and Flexible Remote Work Arrangement

Transforming Patient Care through Expertise and Dedication

At RemX, a division of EmployBridge, we're driven by a mission to connect talented professionals with leading organizations, fostering a culture of excellence and growth. Our Fortune 500 Pharmaceutical Client is at the forefront of healthcare innovation, and they're seeking a skilled Remote Medical Benefits Specialist to join their dynamic team. If you're a compassionate and detail-oriented individual with a passion for healthcare, we invite you to explore this exciting opportunity.

About the Role

As a Remote Medical Benefits Specialist, you will play a critical role in ensuring that patients receive the care they need by processing prior authorization requests, verifying insurance coverage, and collaborating with healthcare providers and insurance companies. This is a full-time, remote position with a competitive salary of $17/hr, weekly pay, and benefits. You'll work within an 8-hour shift between 8am-8pm CST, Monday to Friday, and enjoy the flexibility of working from home with equipment provided by our client.

Key Responsibilities

• Submit and track prior authorization requests via inbound and outbound calls, ensuring timely and accurate processing.
• Verify patients' medical insurance eligibility and coverage, staying up-to-date with changing insurance policies and regulations.
• Communicate effectively with healthcare providers and insurers to ensure compliance and resolve any issues that may arise.
• Maintain accurate and detailed records of approvals and denials, providing insights that inform future decisions.

Essential Qualifications

To succeed in this role, you must have:

• At least 1 year of experience in medical benefits, demonstrating a strong understanding of medical terminology and insurance policies.
• Excellent communication and organizational skills, with the ability to multitask and prioritize tasks effectively.
• A strong work ethic and commitment to delivering high-quality results in a fast-paced environment.

Preferred Qualifications

While not required, the following qualifications can enhance your application:

• Call center experience, showcasing your ability to handle high-volume calls and navigate complex customer interactions.
• Experience in healthcare or insurance, providing a deeper understanding of the industry and its nuances.
• Knowledge of medical benefits software and systems, enabling you to quickly adapt to our client's technology.

Skills and Competencies

To excel as a Remote Medical Benefits Specialist, you'll need:

• Strong analytical skills, with the ability to interpret complex data and make informed decisions.
• Effective communication skills, both written and verbal, to ensure seamless interactions with stakeholders.
• Attention to detail, maintaining accurate records and ensuring compliance with regulations.
• Problem-solving skills, resolving issues and finding solutions that meet the needs of patients and healthcare providers.

Career Growth Opportunities and Learning Benefits

At RemX and our Fortune 500 Pharmaceutical Client, we're committed to your growth and development. As a Remote Medical Benefits Specialist, you'll have access to:

• Ongoing training and support to enhance your skills and knowledge.
• Opportunities for career advancement within the company, leveraging your experience and expertise.
• A collaborative and dynamic work environment that fosters innovation and excellence.

Work Environment and Company Culture

As a remote worker, you'll enjoy the flexibility and autonomy of working from home, while still being part of a cohesive and dedicated team. Our client values:

• Innovation and creativity, encouraging you to think outside the box and find new solutions.
• Diversity and inclusion, fostering a culture that celebrates different perspectives and backgrounds.
• Work-life balance, recognizing the importance of your personal and professional well-being.

Compensation, Perks, and Benefits

Our client offers a competitive compensation package, including:

• A salary of $17/hr, with weekly pay and benefits.
• Equipment provided for remote work, ensuring you have the tools you need to succeed.
• Opportunities for career growth and professional development.
• A dynamic and supportive work environment that values your contributions.

Ready to Apply?

If you're a motivated and detail-oriented individual with a passion for healthcare, we encourage you to apply now. To be considered, you must reside in one of the following US states: AZ, KY, UT, TX, GA, or FL. Please email an up-to-date resume to [email protected] and mention ($17/Hr. Medical Benefits Specialist) in the subject line.

At RemX and our Fortune 500 Pharmaceutical Client, we're committed to being an equal opportunity employer, evaluating qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, and other legally protected characteristics. Join our team and help transform patient care through your expertise and dedication.