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$19/Hr. Remote Healthcare Insurance Specialist (MUST LIVE IN/NEAR IRVING, TX)

Career Insights for Medical Claims Processor / Representative

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What they do

A Medical Claims Processor or Representative reviews and processes medical insurance claims and determines whether an insurance policy will cover a medical procedure. Gathers information from policy holders and organizes insurance files; may process checks with payments to policy holders when a medical claim is approved.

$45,636 / year median in the U.S.

-1% projected decline

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Job Description

Job description
ARE YOU SOMEONE WHO LOVES HEALTHCARE AND THE CALL CENTER ENVIRONMENT!
!!! Successful Healthcare company seeking motivated healthcare representatives experienced with working with medical insurance to support patients with their medication! •If you love helping people and have a problem solving attitude this role is for you!!!!
MUST LIVE NEAR IRVING, TX
Details :
Pay - $19/hr. + Weekly Pay Full time hours M-F must be able to accept 8-hr. shift between 8a-9pm CT. Must be in commuting distance to Irving, TX to pick up equipment.
Start Date:
October 2026 | Mon-Fri, Any 8-Hour Shift Between 8 AM-9
PM CST Responsibilities:
Manually review patient claims status - managing rejections, appeals, reimbursements … etc. Review and process prior authorization requests for medications, services, and procedures. Verify patient eligibility, benefits, and coverage with insurance carriers. Partner with physicians, pharmacies, and insurance companies to obtain required documentation. Ensure all requests are processed accurately and on time. Maintain compliance with HIPAA and company policies. Document all activities in the system for tracking and audits.
Requirements:
1+ year of RECENT, experience in medical benefits investigations (required) Strong communication skills to explain complex information clearly. Ability to manage high call volumes and multitask effectively. Excellent attention to detail and accuracy in documentation. Must have high-speed internet with modem access (hotspots not accepted). For Immediate Consideration - APPLY NOW