Experienced Medical Benefits Representative - Work from Home Opportunity with Fortune 500 Pharmaceutical Client

Posted 2025-10-26
Remote, USA Full Time Immediate Start
Join a Dynamic Team and Make a Difference in Patient Care Are you a dedicated and compassionate professional looking for a challenging and rewarding work-from-home opportunity? Our Fortune 500 Pharmaceutical Client is seeking an experienced Medical Benefits Representative to join their remote team. As a key member of their team, you will play a vital role in ensuring that patients receive the medication they need while working closely with healthcare providers and insurance carriers. About Our Client and the Role Our client is a leading pharmaceutical company committed to improving the lives of patients worldwide. They are seeking a highly skilled and experienced Medical Benefits Representative to join their remote team. As a Medical Benefits Representative, you will be responsible for handling inbound and outbound calls, performing medical benefits investigations, and working with insurance carriers to ensure coverage of medication on behalf of patients. Key Responsibilities Answer inbound calls and make outbound calls to healthcare providers, patients, and insurance carriers Perform medical benefits investigations to determine patient eligibility and coverage Utilize computer skills for data entry and manage patient information in a secure and confidential manner Gather and review patient billing and medical information to facilitate benefits investigations Operate according to the guidelines of the Federal Health Care Program and adhere to industry regulations Collaborate with insurance carriers to ensure coverage of medication on behalf of patients Maintain accurate records and update patient information in a timely and efficient manner Essential Qualifications and Skills To be successful in this role, you will need to possess the following essential qualifications and skills: Prior experience with medical insurance and prior authorizations Medical Call Center experience is a plus, but not required Active internet connection and the ability to work from home in a dedicated and distraction-free environment Ability to multi-task and use dual monitors Excellent communication and interpersonal skills Strong analytical and problem-solving skills High School Diploma or Equivalent required Preferred Qualifications While not required, the following qualifications are highly preferred: Previous experience in a pharmaceutical or healthcare setting Familiarity with industry-specific software and technology Certification in medical benefits or a related field What We Offer As a Medical Benefits Representative with our client, you will enjoy a competitive hourly rate of $17 per hour, plus benefits. You will also have the opportunity to work with a dynamic and experienced team, developing your skills and expertise in a fast-paced and supportive environment. Compensation and Benefits Our client offers a comprehensive compensation and benefits package, including: Competitive hourly rate of $17 per hour Weekly pay Benefits package Opportunities for career growth and professional development Work Environment and Company Culture Our client is committed to creating a positive and inclusive work environment that values diversity and promotes collaboration. As a remote team member, you will have the flexibility to work from home while still being connected to a dynamic and supportive team. Career Growth and Development Opportunities As a Medical Benefits Representative with our client, you will have the opportunity to develop your skills and expertise in a fast-paced and supportive environment. You will be able to take advantage of training and development programs, as well as opportunities for career advancement within the company. Why Join Our Team? By joining our client's team, you will become part of a dynamic and experienced group of professionals who are passionate about improving patient care. You will have the opportunity to make a meaningful contribution to the lives of patients, while developing your skills and expertise in a supportive and inclusive environment. How to Apply If you are a motivated and compassionate professional looking for a challenging and rewarding work-from-home opportunity, please submit your updated resume to charise.mcclain@remx.com, mentioning (KY) in the email subject line. We look forward to hearing from you! Take the Next Step Are you ready to join a dynamic team and make a difference in patient care? Apply now and let's discuss how you can become a vital part of our success story. EmployBridge is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, and other legally protected characteristics. Apply for this job
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