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Medical Insurance Verifier / Claims Processor / Prior Authorization Rep

Medical Insurance Verifier / Claims Processor / Prior Authorization Rep

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Job Description

Medical Insurance Verifier / Claims Processor Job Summary:

Medix Staffing Solutions is currently seeking Medical Insurance Verifier / Claims Processor to work for a credible Pharmacy Benefit Management Company. Qualified Medical Insurance Verifier / Claims Processor / Prior Authorization Rep candidates will be assisting the billing and reimbursement team with handling the front end processes with claims processing. Qualified Medical Insurance Verifier / Claims Processor / Prior Authorization Rep candidates will be responsible for documenting, validating, and processing insurance claims through company based systems.

Medical Insurance Verifier / Claims Processor / Prior Authorization Rep Primary Responsibilities:

  • Medical Insurance Verifier will handle initial referrals with researching and verifying insurance information
  • Claims Processor candidates will set-up proper documentation for insurance claims
  • Prior Authorization Rep will route referrals to appropriate departments in a timely manner
  • The Claims Processor will assist patients with insurance claims as needed
  • The Claims Processor will approve referrals to clear for different segments within the company
  • The Claims Processor will process insurance claims through company based systems
  • The Claims Processor will validate funding sources and clearing payment information 

Job Requirements

Medical Insurance Verifier / Claims Processor / Prior Authorization Rep Job Requirements:

  • High School Diploma or the equivalent
  • Minimum of one year medical terminology
  • Medical claims processing experience is required
  • Must be a team player and possess the ability to adapt to multiple changes
  • Must be able to work in a fast-paced environment

Job Snapshot

Base Pay $13.00 - $15.00 /Hour
Other Pay We offer health, dental, and vision insurance
Employment Type Full-Time
Job Type Insurance, Health Care, Pharmaceutical
Education High School
Experience Not Specified
Manages Others Not Specified
Industry Healthcare - Health Services, Insurance, Pharmaceutical
Required Travel Not Specified
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Medical Insurance Verifier / Claims Processor / Prior Authorization Rep


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