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Urgently Hiring: $19/Hr. Remote Pharmaceutical Claims Processor - Medical Reimbursement Specialist with Fortune 500 Company

Remote, USA Full-time Posted 2025-11-03

Join the Team: Remote Pharmaceutical Claims Processor with a Leading Fortune 500 Company

Are you a detail-oriented and compassionate individual with a passion for healthcare? Do you have experience in medical billing and coding? We have an exciting opportunity for a Remote Pharmaceutical Claims Processor to join our team at Workwarp, a professional staffing division of EmployBridge. As a leader in the industry, we specialize in connecting talented professionals with top companies. In this role, you will have the chance to work with a Fortune 500 pharmaceutical company, processing medical claims and advocating for patients. Enjoy the benefits of working from home, weekly pay, and a competitive salary of $19 per hour.

About the Company and Industry

Our client is a renowned Fortune 500 pharmaceutical company dedicated to providing innovative healthcare solutions. With a strong commitment to excellence, they strive to make a positive impact on people's lives. At Workwarp, we value our team members and focus on creating a supportive and inclusive work environment. As a part of our team, you will have access to ongoing training and development opportunities, allowing you to grow professionally and personally.

Job Summary

We are seeking a highly skilled and motivated Remote Pharmaceutical Claims Processor to join our team. As a Medical Reimbursement Specialist, you will be responsible for processing medical claims, advocating for patients, and ensuring seamless communication with healthcare providers and insurance carriers. This is an excellent opportunity for individuals with experience in medical billing and coding to leverage their skills and make a difference in the lives of patients.

Key Responsibilities:

  • Medical Claims Processing: Review and process pharmacy claims, including denials, status, and reimbursements.
  • Patient Advocacy: Advocate for patients and their prescriptions, ensuring they receive the necessary medication and support.
  • Prior Authorizations: Request prior authorizations and ensure that all necessary documentation is complete.
  • Data Entry: Utilize computer skills for accurate and efficient data entry.
  • Communication: Gather and review patient billing and medical information, and communicate effectively with healthcare providers and insurance carriers.
  • Compliance: Operate according to the guidelines of the Federal Health Care Program, ensuring compliance with regulations and policies.
  • Carrier Communication: Work with carriers to ensure coverage of medication on behalf of the patient.

Requirements and Qualifications

Essential Qualifications:

  • Medical Billing and Coding Experience: At least one year of experience in medical billing and coding.
  • Education: High school diploma or equivalent required.
  • Technical Skills: Active internet connection and ability to work from home with dual monitors.
  • Communication Skills: Excellent communication and interpersonal skills.
  • Work Attitude: Great work attitude and willingness to help others.

Preferred Qualifications:

  • Medical Call Center Experience: Experience working in a medical call center environment.
  • Multitasking: Ability to multitask and prioritize tasks effectively.

What We Offer

Compensation and Benefits:

  • Competitive Salary: $19 per hour, with weekly pay.
  • Benefits: Medical benefits, equipment provided, and the ability to work from home.

Career Growth and Learning:

  • Ongoing Training: Paid training to ensure success in the role.
  • Career Advancement: Opportunities for career growth and professional development.

Work Environment:

  • Remote Work: Work from the comfort of your own home.
  • Flexible Schedule: 8am-9pm EST, Monday-Friday, with an 8-hour shift between these hours.

How to Apply

If you are a motivated and compassionate individual with experience in medical billing and coding, we encourage you to apply for this exciting opportunity. Please email an up-to-date resume to [email protected] and mention $19/hr. Remote TX Claims. We look forward to hearing from you!

Conclusion

As a Remote Pharmaceutical Claims Processor with our team, you will have the chance to make a positive impact on the lives of patients while enjoying a rewarding and challenging career. With a competitive salary, comprehensive benefits, and ongoing training, this is an opportunity you won't want to miss. Apply today and take the first step towards a fulfilling career in healthcare!

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