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$19/Hr. Remote Healthcare Verification Case Manager *Houston, Texas & Surrounding Areas*

Remote, USA Full-time Posted 2025-04-26

Description
• AMAZING FORTUNE 500 BIG PHARMA COMPANY SEEKING REMOTE HEALTHCARE CASE MANAGERS
...
PAID TRAINING & EQUIPMENT PROVIDED!

Position: Verification Case Manager (Healthcare Claims)

Pay: $19/hr. Weekly Pay plus Benefits

Schedule: 8am-9pm EST. M-F (8hr shift scheduled between these hours by client)

Start Date: ETA 10/7* (Start date can change based on client’s needs)

Benefits: WEEKLY PAY, EQUIPMENT PROVIDED, BENEFITS & ABILITY TO WORK FROM HOME

Job Details
• Inbound/outbound calls
• Review pharmacy claims – Billing, Denials, Status, & Reimbursements
• Request Prior Authorizations – Coordinate Benefits
• Advocate for Patients and their prescriptions.
• 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 AT LEAST A YEAR OF MEDICAL BILLING AND CODING within the last two years. *NO EXCEPTIONS*
• Medical Call Center experience is a plus but not required.
• Must have active internet at home.
• Ability to multi-task and use dual monitors.
• Great work attitude and willingness to help others.
• HS Diploma/Equivalent.
• MUST LIVE IN TEXAS!

ANY APPLICANTS APPLYING THAT DO NOT HAVE THE REQUIRED EXPERIENCE WILL NOT BE SELECTED TO INTERVIEW!

For immediate consideration please email an updated resume and interview availability to [email protected] and mention ($19/hr. TX CM) in the subject line.

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